MEDICARE: MADHUSUDHAN REDDY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	15351	SC
2	183700000X	Pharmacy Technician	39364	SC

General Provider Information

NPI Number	:	1124422050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADHUSUDHAN REDDY

Provider Business Mailing Address
First Line	:	3311 PLATT SPRINGS RD
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29170-2203
Country	:	US
Telephone Number	:	803-708-1226
Fax Number	:	803-708-1229

Provider Business Practice Location Address
First Line	:	3321 PLATT SPRINGS RD
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29170-2203
Country	:	US
Telephone Number	:	803-708-1226
Fax Number	:	803-708-1229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2014
Last Update Date	:	03/16/2022

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1891850210 — B AND B CORPORATION
Practice Location Address:

3315 PLATT SPRINGS RD
WEST COLUMBIA, SC
29170-2203

Practice Phone: 803-796-4070
Practice Fax: 803-796-7022

1649670969 — PRIVILEGE PHARMACY INC
Practice Location Address:

3311 PLATT SPRINGS RD
WEST COLUMBIA, SC
29170-2203

Practice Phone: 803-708-1226
Practice Fax: 803-708-1229

1144784471 — SHANNON GOLTL ATC
Practice Location Address:

2500 OLD HIGHWAY 63 S APT 7113
COLUMBIA, MO
65201-2203

Practice Phone: 720-829-7575
Practice Fax:

1376309732 — CAROLINA CADENCE SPEECH THERAPY LLC
Practice Location Address:

2203 MARION ST
COLUMBIA, SC
29201-1917

Practice Phone: 843-593-7625
Practice Fax:

1518960319 — FATHER FLANAGAN'S BOYS' HOME
Practice Location Address:

1655 PALM BEACH LAKES BLVD STE 300
WEST PALM BEACH, FL
33401-2203

Practice Phone: 561-612-6049
Practice Fax: 561-366-4848

Directions to “ MADHUSUDHAN REDDY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.