Individual
SUJATHA S REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
61 DEWEY ST, PRESTONSBURG, KY 41653
(606) 886-3894
(606) 886-6277
Mailing address
PO BOX 640, PRESTONSBURG, KY 41653
(606) 886-3894
(606) 886-6277
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
22826
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64228265
—
KY
Enumeration date
02/02/2006
Last updated
02/09/2010
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