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NPI Code Detail

MEDICARE: SHIVANI VARAKANTAM REDDY M.D.

MEDICARE: SHIVANI VARAKANTAM REDDY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician53509KY
2207W00000XOphthalmology Physician01087560AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326304890
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIVANI VARAKANTAM REDDY M.D.
Provider Business Mailing Address
First Line : 6149 E COLUMBIA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-9134
Country : US
Telephone Number : 812-424-2020
Fax Number : 812-424-3000
Provider Business Practice Location Address
First Line : 6149 E COLUMBIA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-9134
Country : US
Telephone Number : 812-424-2020
Fax Number : 812-424-3000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2012
Last Update Date : 03/04/2026

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Directions to “ SHIVANI VARAKANTAM REDDY M.D.” Practice Location

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