Reddy, Suresh D.

Reddy, Suresh D. is an individual health care provider with primary practice located at 8777 Broadway Suite A, Merrillville IN 46410-6693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reddy, Suresh D. can be contacted via phone (219) 756-0960.

Contact Information

Primary practice address
8777 Broadway Suite A Merrillville IN 46410-6693
Fax: (219) 756-0961
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01038650A Indiana

Profile Details

NPI number 1437117249
LBN Legal business name Reddy, Suresh D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jan 8th, 2013 - about 11 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 1437117249 NPPES
Indiana MEDICAID 200013970

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