Individual
DR. SANTOSH P. REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-7818
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
(801) 585-3655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9024319-1205
UT
208M00000X
Hospitalist Physician
Primary
9024319-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1721706-01
—
TX
01
—
1721706-02
CSHCN
TX
01
—
8P9116
BLUE SHIELD
TX
01
—
P00220291
RR/MEDICARE
TX
Enumeration date
03/31/2006
Last updated
11/12/2021
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