Physician Compare National (NPI:1689664807)

HEALTHCARE PROVIDER: SREENIVAS GUDDETI REDDY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689664807
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476459801
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060202000233
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REDDY
	Individual professional last name
Provider First Name	SREENIVAS
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DIAGNOSTIC RADIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	NUCLEAR MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DIAGNOSTIC RADIOLOGY, NUCLEAR MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	7 N GRANT ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	HINSDALE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	605213366
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y