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Individual

SHIVANI VARAKANTAM REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6149 E COLUMBIA ST, EVANSVILLE, IN 47715-9134
(812) 424-2020
(812) 424-3000
Mailing address
6149 E COLUMBIA ST, EVANSVILLE, IN 47715-9134
(812) 424-2020
(812) 424-3000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01087560A
IN
207W00000X
Ophthalmology Physician
081424
GA
207W00000X
Ophthalmology Physician
265836
MA
207W00000X
Ophthalmology Physician
Primary
53509
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300038156
IN
05
7100250970
KY
Enumeration date
04/09/2012
Last updated
03/04/2026
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