Individual
BHANU SIVA KUMAR REDDY SABBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 296-2147
(516) 572-5609
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(832) 341-9285
(516) 572-5609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
300613
NY
Other
Enumeration date
03/31/2016
Last updated
02/18/2020
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