Individual
PREETHAM REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,C.M.
Contact information
Practice address
2222 N NEVADA AVE, SUITE 4007, COLORADO SPRINGS, CO 80907-6819
(719) 776-8500
(719) 634-1448
Mailing address
2222 N NEVADA AVE, SUITE 4007, COLORADO SPRINGS, CO 80907-6819
(719) 776-8500
(719) 634-1448
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0053625
CO
207RC0000X
Cardiovascular Disease Physician
Primary
53625
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79526217
—
CO
Enumeration date
07/20/2008
Last updated
06/18/2019
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