Individual
SEETHARAM REDDY POTHI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 SWIFT BLVD., RICHLAND, WA 99352
(509) 946-4611
(509) 942-2185
Mailing address
9605 SANDIFUR PARKWAY, PASCO, WA 99301
(509) 942-3627
(509) 547-0827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60232882
WA
208M00000X
Hospitalist Physician
MD60232882
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025904
L&I KRMC GROUP NUMBER
WA
05
—
1730473273
—
WA
Enumeration date
06/01/2011
Last updated
02/27/2013
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