Individual
DR. ANIL KUMAR SURASANI REDDY
Active
Individual
DR. ANIL KUMAR SURASANI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2005851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040877301
UNIVERA
—
01
—
00931237
MEDICAID GROUP #
—
05
—
02067678
—
NY
01
—
050073887
PALMETTO
—
01
—
100182665001
UHC MC
NY
01
—
10058425
CDPHP
NY
01
—
11316552
CAQH
—
01
—
1826650
UHC
NY
01
—
207045400
US DEPT LABOR
NY
01
—
361307
MVP
—
01
—
40426014144
FIDELIS
—
01
—
54602A
MEDICARE GROUP #
—
Enumeration date
10/26/2005
Last updated
03/03/2022
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