Individual
SHRUTI REDDY KOMMAREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006523
PA
213ES0131X
Foot Surgery Podiatrist
Primary
SC006523
PA
Other
Enumeration date
09/10/2013
Last updated
10/03/2023
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