MEDICARE: DR. SAMARTH LAKSHMAIAH 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
1	207RX0202X	Medical Oncology Physician	ME87684	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01607918	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8728512	OTHER	FL	CIGNA
3	295515	OTHER	FL	AVMED
4	10145	OTHER	FL	DIMENSION HEALTH
5	P971539	OTHER	FL	OPTIMUM
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	71687	OTHER	FL	BCBS
8	7625445	OTHER	FL	AETNA
9	P1035777	OTHER	FL	FREEDOM

General Provider Information

NPI Number	:	1851389514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMARTH LAKSHMAIAH REDDY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	21020 STATE ROAD 7 # 200C
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1320
Country	:	US
Telephone Number	:	561-409-1071
Fax Number	:	833-408-6200

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

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	02/04/2026

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Directions to “ DR. SAMARTH LAKSHMAIAH REDDY M.D.” Practice Location

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