Healthcare Provider Details

I. General information

NPI: 1265061097
Provider Name (Legal Business Name): DR. SRIKALA REDDY GUMIREDDY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 MONTGOMERY ST
CHICOPEE MA
01020-1969
US

IV. Provider business mailing address

759 CHESTNUT ST
SPRINGFIELD MA
01199-0001
US

V. Phone/Fax

Practice location:
  • Phone: 413-733-4101
  • Fax:
Mailing address:
  • Phone: 413-794-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number1022156
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: