Individual
DR. SUDHAKAR A REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 E BASELINE RD, MESA, AZ 85206-4709
(480) 393-5075
(480) 704-4019
Mailing address
5555 E BASELINE RD, MESA, AZ 85206-4709
(480) 393-5075
(480) 704-4019
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
36640
AZ
207RG0100X
Gastroenterology Physician
MD043886E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01748642
—
PA
05
—
194943
—
AZ
Enumeration date
06/21/2006
Last updated
03/20/2020
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