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General NPI Number Information
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NPI Number | 1558350694
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Entity Type | Individual
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Provider Name | SHALINI P REDDY MD
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Gender | Female
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 111 S GRANT AVE 3RD FLOOR
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City | COLUMBUS
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State | OH
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Zip | 43215-4701
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Country | US
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Telephone | 614-566-8808
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Fax | 614-566-9503
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Provider Business Mailing Address
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Address Line | 1299 OLENTANGY RIVER RD SUITE 103
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City | COLUMBUS
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State | OH
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Zip | 43212-3135
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Country | US
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Telephone | 614-566-4278
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Fax | 614-566-5424
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35080799R
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License Number State | OH
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