Reddy, Pesara P
Reddy, Pesara P is an individual health care provider with primary practice located at 2500 W 12Th St The Regional Cancer Ctr, Erie PA 16505. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Reddy, Pesara P can be contacted via phone (814) 835-9000.Contact Information
Primary practice address
2500 W 12Th St The Regional Cancer Ctr
Erie PA 16505
Phone: (814) 835-9000
Fax: (814) 838-0443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | MD034289L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | MD034289L | Pennsylvania |
Profile Details
| NPI number | 1548233190 |
|---|---|
| LBN Legal business name | Reddy, Pesara P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Mar 31st, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548233190 | NPPES |
| Pennsylvania | MEDICAID | 0006903140001 | |
| Pennsylvania | MEDICAID | 2193611 |
Popular Providers
-
Masko, Gabriela B
825 N Main St , Providence RI 02904-5707 -
Bush, Steven E
1 Mercado St Suite 100, Durango CO 81301-7306 -
Fisher, Kevin Andrew
2500 W 12Th St , Erie PA 16505-4508 -
Figura, Andrew Thomas
2508 Myrtle Street Suite 100, Erie PA 16502-2700 -
Sundararaman, Srinath
500 N Hiatus Rd Ste 200 , Pembroke Pines FL 33026-5213 -
Goss, Bryan W
455 Saint Michaels Dr , Santa Fe NM 87505-7601 -
Bertoli, Robert J
2508 Myrtle St Ste 100 , Erie PA 16502-2700 -
Triedman, Scott A.
825 N Main St , Providence RI 02904-5707