Individual
SATYANARAYAN K REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(404) 822-3022
Mailing address
19652 GROVER ST, OMAHA, NE 68130-5042
(404) 822-3022
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036261
GA
207RH0003X
Hematology & Oncology Physician
36261
GA
207RX0202X
Medical Oncology Physician
036261
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00511629E
—
GA
Enumeration date
05/31/2005
Last updated
09/12/2023
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