Individual
DR. SUDHAKAR REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1330 BERDINGER AVE., ST. CLOUD, FL 34769-4707
(407) 891-2943
(407) 593-6854
Mailing address
1330 BERDINGER AVE., ST. CLOUD, FL 34769-4707
(407) 891-2943
(407) 593-6854
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0040195
FL
207RG0100X
Gastroenterology Physician
Primary
ME40195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036023600
—
FL
Enumeration date
06/30/2006
Last updated
03/05/2024
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