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General NPI Number Information
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NPI Number | 1427636950
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Entity Type | Individual
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Provider Name | ANISH REDDY DO
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Gender | Male
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 4455 E 56TH ST
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City | DAVENPORT
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State | IA
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Zip | 52807-2995
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Country | US
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Telephone | 563-355-2577
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Fax | 563-355-4015
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Provider Business Mailing Address
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Address Line | 10 TIMBERLINE CT
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City | ROCK ISLAND
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State | IL
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Zip | 61201-6157
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Country | US
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Telephone | 309-429-7836
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS19945
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DO-07050
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License Number State | IA
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