Individual
DR. PURUSHOTTAM M REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14134 NEPHRON LANE, HUDSON, FL 34667
(727) 863-5418
(727) 869-8626
Mailing address
14134 NEPHRONE LANE, RENAL HYPERTENSION CENTER, HUDSON, FL 34667
(727) 863-5418
(727) 869-8626
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME005664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004106456
AETNA
—
01
—
01245
UNIVERSAL
—
05
—
052954100
—
FL
01
—
09594
WELLCARE
—
01
—
1042
OPTIMUM
—
01
—
10501601
CITRUS HEALTH CARE
—
01
—
110069456
MEDICARE RR
—
01
—
210962
AV-MED
—
01
—
2217334
CIGNA
—
01
—
2504281
GHI
—
01
—
593068073
HUMANA MILITARY
—
01
—
933673
CCN
—
01
—
PRO127
QUALITY DELTA
—
Enumeration date
09/15/2005
Last updated
08/31/2010
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