Reddy, Surekha N

Reddy, Surekha N is an individual health care provider with primary practice located at 5959 Greenback Ln Ste 500 , Citrus Heights CA 95621-4700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Reddy, Surekha N can be contacted via phone (916) 725-1177.

Contact Information

Primary practice address
5959 Greenback Ln Ste 500 Citrus Heights CA 95621-4700
Phone: (916) 725-1177
Fax: (916) 877-8225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A81664 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A81664 California

Profile Details

NPI number 1104917913
LBN Legal business name Reddy, Surekha N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104917913 NPPES
California MEDICAID 00A816640

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