Individual
SUBHASH K REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7806 W JEFFERSON BLVD STE D, FORT WAYNE, IN 46804-4180
(260) 432-7000
(260) 459-6625
Mailing address
7806 W JEFFERSON BLVD STE D, FORT WAYNE, IN 46804-4180
(260) 432-7000
(260) 459-6625
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01040891
IN
207RC0000X
Cardiovascular Disease Physician
35069550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087404
ANTHEM
IN
05
—
0913293
—
OH
05
—
100095070
—
IN
01
—
110070256
RAILROAD
—
01
—
RE0797831
MEDICARE-PAULDING
OH
01
—
RE0797832
MEDICARE-VANWERT
OH
Enumeration date
01/25/2006
Last updated
07/23/2025
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