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NPI Code Detail

MEDICARE: DR. SUREKHA V REDDY MD

MEDICARE: DR. SUREKHA V REDDY 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
1207R00000XInternal Medicine PhysicianIL

General Provider Information

NPI Number : 1609969633
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUREKHA V REDDY MD
Provider Business Mailing Address
First Line : 742 SARAH LN
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-2172
Country : US
Telephone Number : 847-562-0899
Fax Number :
Provider Business Practice Location Address
First Line : 820 S DAMEN AVE
Second Line : MAIL CODE 111
City : CHICAGO
State : IL
Zip : 60612-3728
Country : US
Telephone Number : 312-569-7028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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