Healthcare Provider Details

I. General information

NPI: 1093959835
Provider Name (Legal Business Name): RACHITA SETHI REDDY MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2009
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 E PULASKI RD
HUNTINGTON STATION NY
11746-1915
US

IV. Provider business mailing address

180 E PULASKI RD
HUNTINGTON STATION NY
11746-1915
US

V. Phone/Fax

Practice location:
  • Phone: 718-552-2070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number264454
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number264454
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: