Organization
S.H.K.REDDY,MD,PSC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYAMALA H.K. REDDY M.D., (OWNER)
(606) 439-4767
Entity
Organization
Contact information
Practice address
200 MEDICAL CENTER DR, SUITE 3A, HAZARD, KY 41701-9466
(606) 439-4767
(606) 439-4768
Mailing address
200 MEDICAL CENTER DR, SUITE 3A, HAZARD, KY 41701-9466
(606) 439-4767
(606) 439-4768
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0847
BLUE CROSS & BLUE SHIELD
KY
05
—
64209224
—
KY
Enumeration date
01/18/2008
Last updated
01/05/2009
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