Individual
DR. PADMASHREE B REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 N LOGAN AVE, DANVILLE POLYCLINIC, LTD., DANVILLE, IL 61832-4360
(217) 477-4716
(217) 444-4965
Mailing address
707 N LOGAN AVE, DANVILLE POLYCLINIC, LTD., DANVILLE, IL 61832-4360
(217) 477-4716
(217) 444-4965
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036083082
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083082
—
IL
05
—
100023560A
—
IN
01
—
170576
PERSONAL CARE/COVENTRY
—
01
—
897141
UNITED HEALTHCARE
—
Enumeration date
06/09/2006
Last updated
01/12/2015
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