Individual
DR. USHA REDDY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 MAIN ST, MANCHESTER, CT 06040-5196
(860) 643-5218
(860) 646-1261
Mailing address
71 JOHN OLDS DR, MANCHESTER, CT 06042-8798
(860) 643-5218
(860) 646-1261
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
031248
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00131248807
BLUE CARE FAMILY PLAN
CT
01
—
010031248CT06
ANTHEM BLUE CROSS
—
01
—
031248
CONNECTICARE
—
01
—
1080020
AETNA
—
01
—
206622
PREFERRED ONE
CT
01
—
2V6569
HEALTH NET
—
Enumeration date
05/11/2006
Last updated
07/08/2007
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