Individual
DR. SUNTHOSH MADIREDDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(858) 442-7046
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(858) 442-7046
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
28853
NE
208D00000X
General Practice Physician
28853
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2014
Last updated
10/21/2020
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