Active NPIIndividual provider

Dr. Prabhakar Reddy, MD

Internal Medicine in Riverside, Connecticut

NPI Number1508186651
Practice location
1200 East Putnam Ave, Greewich Walk In Medical Ctr, Riverside, CT 06878
Fax
203-698-2291
Last updated
July 15, 2021

Prabhakar Reddy is an Internal Medicine based in Riverside, CT. Prabhakar Reddy practices in Riverside, CT and has the professional credentials of MD. The NPI Number for Prabhakar Reddy is 1508186651 and holds a License No. 037205 (CT). The current practice location address for Prabhakar Reddy is 1200 East Putnam Ave, Greewich Walk In Medical Ctr, Riverside, CT 06878 and can be reached out via phone at 203-698-4006 and via fax at 203-698-2291.

Provider Profile Details

NPI Number
1508186651
Provider Name
Prabhakar Reddy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1200 East Putnam Ave, Greewich Walk In Medical Ctr, Riverside, CT 06878
Phone Number
203-698-4006
Fax Number
203-698-2291
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2010
Last Update Date
July 15, 2021
Certification Date
July 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 East Putnam Ave
Greewich Walk In Medical Ctr
Riverside, CT 06878
Zip
06878
Phone Number
203-698-4006
Fax Number
203-698-2291
Riverside, CT 06878Get directions →

Provider Business Mailing Address Details

Address
133-38 126TH Street
South Ozone Park, NY 11420
City
South Ozone Park
State
NY
Zip
11420
Phone Number
718-843-0333

License Information

License Number
037205
License State
CT
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Prabhakar Reddy, MD?

The NPI number of Dr. Prabhakar Reddy, MD is 1508186651. It was assigned on June 10, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Prabhakar Reddy, MD?

Dr. Prabhakar Reddy, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 037205.

Where does Dr. Prabhakar Reddy, MD practice?

The practice location is 1200 East Putnam Ave, Greewich Walk In Medical Ctr, Riverside, CT 06878. The office can be reached at 203-698-4006 (phone) or 203-698-2291 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508186651 directly on the NPPES registry website.

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