Individual
DR. SUJATA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5834
(270) 659-5946
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5834
(270) 659-5946
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
36781
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64053275
—
KY
01
—
K060702
MEDICARE
KY
Enumeration date
04/17/2007
Last updated
03/02/2023
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