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:
Health care specialties
Specialty | Code | License # | 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 5 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 | 1811126253 | NPPES |
Florida | MEDICAID | 005970100 |
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