Reddy, Sudesh S

Reddy, Sudesh S is an sole proprietor health care provider with primary practice located at 402 S State St Marion, Marion OH 43302-5000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Reddy, Sudesh S can be contacted via phone (740) 387-0650.

Contact Information

Primary practice address
402 S State St Marion Marion OH 43302-5000
Phone: (740) 387-0650
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-053263 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-053263 Ohio

Profile Details

NPI number 1104015775
LBN Legal business name Reddy, Sudesh S
Credentials MD INC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2007
Last updated May 30th, 2013 - about 12 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 1104015775 NPPES
Ohio MEDICAID 0673114

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