Individual
NISHIKA MUDDASANI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 OLENTANGY RIVER RD FL 5, COLUMBUS, OH 43212-3153
(614) 293-8116
(614) 293-4719
Mailing address
4445 LAKE FOREST DR, STE 600, BLUE ASH, OH 45242-3744
(513) 569-3741
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35136562
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0358195
—
OH
Enumeration date
03/31/2015
Last updated
05/02/2023
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