Individual
SHUBHADA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636
(309) 495-1640
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636
(309) 495-1640
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
00000000000000000000
IL
2084P0800X
Psychiatry Physician
Primary
T2251
TX
2084P0804X
Child & Adolescent Psychiatry Physician
T2251
TX
Other
Enumeration date
04/21/2017
Last updated
07/23/2024
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