Individual
DR. PADMAJA VASIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 223-5618
(772) 288-5834
Mailing address
1308 PIAZZA DELLE PALLOTTOLE, BOYNTON BEACH, FL 33426-8274
(336) 608-1060
(888) 711-2094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008-01482
NC
207R00000X
Internal Medicine Physician
ME129253
FL
208M00000X
Hospitalist Physician
2008-01482
NC
208M00000X
Hospitalist Physician
Primary
ME129253
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018474600
—
FL
01
—
2P92A
FLORIDA BLUE
FL
05
—
5910318
—
NC
Enumeration date
10/03/2007
Last updated
05/29/2020
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