Reddy, Gaddum P

Reddy, Gaddum P is an individual health care provider with primary practice located at 1680 Diagonal Rd , Worthington MN 56187-1008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Reddy, Gaddum P can be contacted via phone (507) 372-3800.

Contact Information

Primary practice address
1680 Diagonal Rd Worthington MN 56187-1008
Phone: (507) 372-3800
Fax: (507) 372-3806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 46717 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 7241 South Dakota
Allopathic & Osteopathic Physicians / Surgery 208600000X 51246 Minnesota

Profile Details

NPI number 1356389118
LBN Legal business name Reddy, Gaddum P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Mar 25th, 2022 - about 3 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356389118 NPPES
Wisconsin MEDICAID 34550000

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