Individual
DR. SUKHENDER R SINGIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1728 DUNLAWTON AVE, STE 5, PORT ORANGE, FL 32127-2922
(386) 304-3404
(386) 304-3135
Mailing address
880 RIVERSIDE DR, ORMOND BEACH, FL 32176-7851
(386) 677-6928
(386) 304-3135
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0081395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260108700
—
FL
01
—
P00387686
RR MEDICARE
—
Enumeration date
04/21/2006
Last updated
01/25/2012
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