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NPI Code Detail

MEDICARE: VENKATESH REDDY MADADI MD

MEDICARE: VENKATESH REDDY MADADI MD
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
1207L00000XAnesthesiology Physician32230KY
2207LP2900XPain Medicine (Anesthesiology) Physician01057470AIN
3207L00000XAnesthesiology Physician01057470AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649264383
Entity Type Code : Individual
Provider Name (Legal Business Name) : VENKATESH REDDY MADADI MD
Provider Business Mailing Address
First Line : PO BOX 3407
Second Line :
City : EVANSVILLE
State : IN
Zip : 47733-3407
Country : US
Telephone Number : 812-450-2240
Fax Number : 812-450-2710
Provider Business Practice Location Address
First Line : 600 MARY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1658
Country : US
Telephone Number : 812-450-2240
Fax Number : 812-450-2710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 06/13/2023

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Directions to “ VENKATESH REDDY MADADI MD” Practice Location

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