Reddy, Pramod A
Reddy, Pramod A is an sole proprietor health care provider with primary practice located at 45 Moonbow Plz , Corbin KY 40701-8949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Reddy, Pramod A can be contacted via phone (606) 523-9010.Contact Information
Primary practice address
45 Moonbow Plz
Corbin KY 40701-8949
Phone: (606) 523-9010
Fax: (606) 523-5923
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 29557 | Kentucky |
Profile Details
NPI number | 1063417996 |
---|---|
LBN Legal business name | Reddy, Pramod A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 16th, 2005 |
Last updated | Dec 8th, 2020 - about 4 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 | 1063417996 | NPPES |
Kentucky | Other | P01427298 | RR MEDICARE |
Kentucky | Other | K000751 | RR MEDICARE |
Kentucky | MEDICAID | 64295579 | RR MEDICARE |
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