Reddy, Purushottam M

Reddy, Purushottam M is an sole proprietor health care provider with primary practice located at 14134 Nephron Lane , Hudson FL 34667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Reddy, Purushottam M can be contacted via phone (727) 863-5418.

Contact Information

Primary practice address
14134 Nephron Lane Hudson FL 34667
Phone: (727) 863-5418
Fax: (727) 869-8626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME005664 Florida

Profile Details

NPI number 1205821170
LBN Legal business name Reddy, Purushottam M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Aug 31st, 2010 - about 14 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 1205821170 NPPES
Other 593068073 HUMANA MILITARY
Other 593068073 HUMANA MILITARY
Other 110069456 HUMANA MILITARY
Other 1042 HUMANA MILITARY
Other 2217334 HUMANA MILITARY
MEDICAID 052954100 HUMANA MILITARY
Other 210962 HUMANA MILITARY
Other 593068073 HUMANA MILITARY
Other 0004106456 HUMANA MILITARY
Other 01245 HUMANA MILITARY
Other 593068073 HUMANA MILITARY
Other 933673 HUMANA MILITARY
Other 09594 HUMANA MILITARY
Other 10501601 HUMANA MILITARY
Other 2504281 HUMANA MILITARY
Other 933673 HUMANA MILITARY
Other PRO127 HUMANA MILITARY

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