Reddy, Proddutur Vittal
Reddy, Proddutur Vittal is an individual health care provider with primary practice located at 925 Nw 15Th Ave , Ardmore OK 73401-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Reddy, Proddutur Vittal can be contacted via phone (580) 223-0011.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 11121 | Oklahoma |
Profile Details
NPI number | 1609946151 |
---|---|
LBN Legal business name | Reddy, Proddutur Vittal |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 9th, 2006 |
Last updated | Jul 15th, 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 | 1609946151 | NPPES |
Oklahoma | MEDICAID | 100181280A |
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