| Organization Name: | REDDY FOOT AND ANKLE CENTER CORP |
| NPI Number: | 1427394782 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUNEETA SIDDAPUREDDY (PRESIDENT) |
| Mailing Address: | 602 Bethel Ln Warrington |
| State: | PA US |
| Postal Code: | 189761436 |
| Phone Number: | 2484702311 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2012 |
| NPI Last Update Date: | 12/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | SC006228 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |