Reddy, Bhasker
Reddy, Bhasker is an individual health care provider with primary practice located at 1115 N Ronald Reagan Parkway Suite 206, Avon IN 46123-6911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Reddy, Bhasker can be contacted via phone (317) 272-8050.Contact Information
Primary practice address
1115 N Ronald Reagan Parkway Suite 206
Avon IN 46123-6911
Phone: (317) 272-8050
Fax: (317) 272-8051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01046775A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01046775A | Indiana |
Profile Details
| NPI number | 1023005840 |
|---|---|
| LBN Legal business name | Reddy, Bhasker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Apr 19th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023005840 | NPPES |
| Indiana | Other | 267030VV | MEDICARE PTAN |
| Indiana | Other | 000000668271 | MEDICARE PTAN |
| Indiana | Other | 1102234516 | MEDICARE PTAN |
| Indiana | MEDICAID | 200202940 | MEDICARE PTAN |
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