Subbareddy, Madireddy V

Subbareddy, Madireddy V is an individual health care provider with primary practice located at 14015 Sanford Ave , Flushing NY 11355-2557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Subbareddy, Madireddy V can be contacted via phone (718) 670-6400.

Contact Information

Primary practice address
14015 Sanford Ave Flushing NY 11355-2557
Fax: (718) 640-6479
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 112106 New York

Profile Details

NPI number 1902824899
LBN Legal business name Subbareddy, Madireddy V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1902824899 NPPES
New York MEDICAID 00202584

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