Healthcare Provider Details

I. General information

NPI: 1023177524
Provider Name (Legal Business Name): NAVEEN SIDDAVATAM KUMAR REDDY M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SIDDAVATAM NAVEEN KUMAR REDDY M.D

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 W STATE ST
DOYLESTOWN PA
18901-2554
US

IV. Provider business mailing address

595 W STATE ST
DOYLESTOWN PA
18901-2554
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-2885
  • Fax: 215-345-2552
Mailing address:
  • Phone: 215-345-2885
  • Fax: 215-345-2552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD429464
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD429464
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: