Reddy, Sudershan P
Reddy, Sudershan P is an individual health care provider with primary practice located at 416 Bellevue Ave Ste 104, Trenton NJ 08618-4513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Reddy, Sudershan P can be contacted via phone (609) 396-4700.Contact Information
Primary practice address
416 Bellevue Ave Ste 104
Trenton NJ 08618-4513
Phone: (609) 396-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 07847000 | New Jersey |
Profile Details
| NPI number | 1790791812 |
|---|---|
| LBN Legal business name | Reddy, Sudershan P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Apr 9th, 2024 - about 8 months 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 | 1790791812 | NPPES |
| New Jersey | MEDICAID | 0100625 |
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