Individual
DR. UDAY K. REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11518 N FRONTAGE RD, YUMA, AZ 85367-8994
(928) 342-6500
(928) 342-6863
Mailing address
PO BOX 669, YUMA, AZ 85366-2329
(520) 476-3503
(928) 342-6863
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
55144
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
558198
—
AZ
01
—
Z258608
MEDICARE PTAN
AZ
Enumeration date
06/23/2005
Last updated
06/05/2024
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