Reddy, Sujana

Reddy, Sujana is an individual health care provider with primary practice located at 22655 Bayshore Rd Ste 110 , Port Charlotte FL 33980-2005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Reddy, Sujana can be contacted via phone (941) 235-4900.

Contact Information

Primary practice address
22655 Bayshore Rd Ste 110 Port Charlotte FL 33980-2005
Phone: (941) 235-4900
Fax: (941) 235-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X ME113447 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME113447 Florida

Profile Details

NPI number 1811126253
LBN Legal business name Reddy, Sujana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2009
Last updated Jun 27th, 2024 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811126253 NPPES
Florida MEDICAID 005970100

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