MEDICARE: SIRISHA PASHAM REDDY 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
1	207RC0000X	Cardiovascular Disease Physician	27513	WV
2	207RC0000X	Cardiovascular Disease Physician	20000084	NC
3	207RC0000X	Cardiovascular Disease Physician	M5900	TX
4	207RC0000X	Cardiovascular Disease Physician	ME102395	FL
5	207RC0001X	Clinical Cardiac Electrophysiology Physician	200000884	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3559611	OTHER	WV	BCBS
3	8X7818	OTHER	TX	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710080130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIRISHA PASHAM REDDY MD

Provider Business Mailing Address
First Line	:	2301 ROBESON ST STE 301
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28305-5641
Country	:	US
Telephone Number	:	910-484-4100
Fax Number	:	910-484-4179

Provider Business Practice Location Address
First Line	:	2301 ROBESON ST STE 301
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28305-5641
Country	:	US
Telephone Number	:	910-484-4100
Fax Number	:	910-484-4179

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	10/23/2025

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Directions to “ SIRISHA PASHAM REDDY MD” Practice Location

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