MEDICARE: ANUSHA REDDY MADADI MD

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
1	207RX0202X	Medical Oncology Physician	2021-02062	NC
2	207RH0003X	Hematology & Oncology Physician	2021-02062	NC
3	207RH0000X	Hematology (Internal Medicine) Physician	2021-02062	NC
4	207RH0003X	Hematology & Oncology Physician	MD61590639	WA

General Provider Information

NPI Number	:	1447416334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANUSHA REDDY MADADI MD

Provider Business Mailing Address
First Line	:	PO BOX 40908
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28309-0908
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6387 RAMSEY ST UNIT 140
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-9442
Country	:	US
Telephone Number	:	910-615-3840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	10/02/2025

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