Organization
SAMYUKTHA C.REDDY,M.D.,P.C.
Active
Organization
SAMYUKTHA C.REDDY,M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMYUKTHA C REDDY M.D. (PRESIDENT)
(256) 885-2222
Entity
Organization
Contact information
Practice address
400 WHITESPORT DR SW, SUITE 101, HUNTSVILLE, AL 35801-6452
(256) 885-2222
(256) 885-2223
Mailing address
400 WHITESPORT DR SW, SUITE 101, HUNTSVILLE, AL 35801-6452
(256) 885-2222
(256) 885-2223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AL10773
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000038457
—
AL
01
—
110194866
RAILROAD RETIREMENT
AL
01
—
38457
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/20/2006
Last updated
08/10/2010
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