Reddy, Shashidhar

Reddy, Shashidhar is an individual health care provider with primary practice located at 1 Columbia St Dra Imaging, P.C., Poughkeepsie NY 12601-3923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Reddy, Shashidhar can be contacted via phone (845) 454-4700.

Contact Information

Primary practice address
1 Columbia St Dra Imaging, P.C. Poughkeepsie NY 12601-3923
Phone: (845) 454-4700
Fax: (845) 454-4982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 128410 New York

Profile Details

NPI number 1942200803
LBN Legal business name Reddy, Shashidhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Aug 20th, 2007 - about 17 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 1942200803 NPPES
New York MEDICAID 00961028

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