Individual
SREENIVAS GUDDETI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 N GRANT ST, HINSDALE, IL 60521-3365
(708) 354-8881
(708) 354-8340
Mailing address
7 N GRANT ST, HINSDALE, IL 60521-3365
(708) 354-8881
(708) 354-8340
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01053878
IN
2085R0202X
Diagnostic Radiology Physician
036096152
IL
2085R0204X
Vascular & Interventional Radiology Physician
01053878
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036096152
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200339250
—
IN
Enumeration date
10/27/2005
Last updated
01/10/2023
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