Reddy, Madhusudhan P

Reddy, Madhusudhan P is an individual health care provider with primary practice located at 1301 15Th Ave. W. , Williston ND 58801-3821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Reddy, Madhusudhan P can be contacted via phone (701) 774-7400.

Contact Information

Primary practice address
1301 15Th Ave. W. Williston ND 58801-3821
Phone: (701) 774-7400
Fax: (701) 774-7479
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 14725R Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 60041527 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11765 North Dakota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35.094848 Ohio

Profile Details

NPI number 1639389133
LBN Legal business name Reddy, Madhusudhan P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Nov 13th, 2012 - about 13 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 1639389133 NPPES
Louisiana MEDICAID 15376

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