Individual
MR. SRIDHAR V REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2920 N CASCADE AVE, 2ND FLOOR, COLORADO SPRINGS, CO 80907-6262
(719) 227-0027
(719) 955-4058
Mailing address
2920 N CASCADE AVE, 2ND FLOOR, COLORADO SPRINGS, CO 80907-6262
(719) 227-0027
(719) 955-4058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37618
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11776749
—
CO
01
—
P00307583
RAILROAD MEDICARE
CO
Enumeration date
01/09/2007
Last updated
11/05/2024
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