Individual
SIVAPRASAD M REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34515 9TH AVE S, FEDERAL WAY, WA 98003-6761
(253) 588-7911
Mailing address
3633 PACIFIC AVE, SUITE 204, TACOMA, WA 98418-7900
(866) 284-5033
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
16852
WA
207L00000X
Anesthesiology Physician
Primary
MD00016852
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032580
—
WA
Enumeration date
01/24/2007
Last updated
05/05/2008
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