Individual
DR. SREERANGAPALLE S REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1049 5TH AVE, SUITE 2A, NEW YORK, NY 10028-0115
(212) 737-0909
(212) 737-3589
Mailing address
PO BOX 95000-2424, PHILADELPHIA, PA 19195-2424
(212) 737-0909
(212) 737-3589
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
163148
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00971522
—
NY
Enumeration date
01/25/2007
Last updated
11/07/2012
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