MEDICARE: DR. KAKULAVARAM VENKAT 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
1	2085R0203X	Therapeutic Radiology Physician	119336	NY
2	2085R0203X	Therapeutic Radiology Physician	0420008367	VT

General Provider Information

NPI Number	:	1770583619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAKULAVARAM VENKAT REDDY MD

Provider Business Mailing Address
First Line	:	PO BOX 8701
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12208-0701
Country	:	US
Telephone Number	:	518-271-3220
Fax Number	:	518-271-3459

Provider Business Practice Location Address
First Line	:	2215 BURDETT AVE
Second Line	:	SAMARITIAN HOSPITAL CANCER CARE CENTER
City	:	TROY
State	:	NY
Zip	:	12180-2466
Country	:	US
Telephone Number	:	518-271-3220
Fax Number	:	518-271-3459

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

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1053266502 — MR. FRANCIS NICOLI CALINGASION OGA RN
Practice Location Address:

2215 BURDETT AVE
TROY, NY
12180-2466

Practice Phone: 518-271-3300
Practice Fax:

1487500393 — DR. JESSICA MARGARET VAN ACKER PHARM.D.
Practice Location Address:

2215 BURDETT AVE
TROY, NY
12180-2466

Practice Phone: 518-271-3300
Practice Fax:

1336131598 — TROY RADIATION ONCOLOGY PLLC
Practice Location Address:

2215 BURDETT AVE , SAMARITAN CANCER CARE CENTER
TROY, NY
12180-2466

Practice Phone: 518-271-3220
Practice Fax:

1205820727 — ROBERT E BENTON MD
Practice Location Address:

2231 BURDETT AVE , #160 CAPITAL CARDIOLOGY ASSOCIATES PC
TROY, NY
12180-2466

Practice Phone: 518-292-6200
Practice Fax: 518-292-6228

1174512180 — ANICETO LOMOTAN MD
Practice Location Address:

2215 BURDETT AVE
TROY, NY
12180-2466

Practice Phone: 518-271-3229
Practice Fax:

1639169667 — DALIA ELDEIRY MD
Practice Location Address:

2215 BURDETT AVE
TROY, NY
12180-2466

Practice Phone: 518-271-3229
Practice Fax:

Directions to “ DR. KAKULAVARAM VENKAT REDDY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.