Doctor Name: | DR. PRAMOD A REDDY |
NPI Number: | 1063417996 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 29557 |
Business Practice Address: | 45 Moonbow Plz Corbin, KY - 407018949 |
Business Phone Number: | 6065239010 |
Business Fax Number: | 6065235923 |
Mailing Address: | Po Box 1325, CORBIN |
State: | KY |
Postal Code: | 407021325 |
Phone Number: | 6065268131 |
Fax Number: | 6065288661 |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 02/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 29557 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |