Reddy, Subhash
Reddy, Subhash is an individual health care provider with primary practice located at 7806 W Jefferson Blvd Ste D , Fort Wayne IN 46804-4180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Reddy, Subhash can be contacted via phone (260) 432-7000.Contact Information
Primary practice address
7806 W Jefferson Blvd Ste D
Fort Wayne IN 46804-4180
Phone: (260) 432-7000
Fax: (260) 459-6625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35069550 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01040891 | Indiana |
Profile Details
| NPI number | 1821068511 |
|---|---|
| LBN Legal business name | Reddy, Subhash |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Sep 29th, 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 | 1821068511 | NPPES |
| Ohio | Other | RE0797832 | MEDICARE-VANWERT |
| Ohio | MEDICAID | 0913293 | MEDICARE-VANWERT |
| Ohio | Other | RE0797831 | MEDICARE-VANWERT |
| Ohio | MEDICAID | 100095070 | MEDICARE-VANWERT |
| Ohio | Other | 000000087404 | MEDICARE-VANWERT |
| Ohio | Other | 110070256 | MEDICARE-VANWERT |
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