Individual
ANITA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
32018 23RD AVE S, FEDERAL WAY, WA 98003-6022
(253) 839-3030
(206) 520-1799
Mailing address
32018 23RD AVE S, FEDERAL WAY, WA 98003-6022
(253) 839-3030
(206) 520-1799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00045818
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8454357
—
WA
01
—
AB06402
MEDICARE GROUP
WA
Enumeration date
05/24/2006
Last updated
10/22/2014
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