Individual
VENKATESH REDDY MADADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47710-1658
(812) 450-2240
(812) 450-2710
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-2240
(812) 450-2710
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01057470A
IN
207L00000X
Anesthesiology Physician
32230
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
01057470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200848960
—
IN
05
—
64045008
—
KY
Enumeration date
09/08/2005
Last updated
06/13/2023
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