Individual
DR. SHANTAN G REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
337 SOMERSET ST, JOHNSTOWN, PA 15901-2541
(814) 533-0132
(814) 536-5916
Mailing address
337 SOMERSET ST, JOHNSTOWN, PA 15901-2541
(814) 533-0132
(814) 536-5916
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD200535
LA
207RX0202X
Medical Oncology Physician
MD200535
LA
207RX0202X
Medical Oncology Physician
Primary
MD484188
PA
207RX0202X
Medical Oncology Physician
P9943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1070700
—
LA
05
—
280554102
—
TX
Enumeration date
07/10/2007
Last updated
01/10/2025
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