SHRUTI REDDY KOMMAREDDY


Address: 3900 Woodland Ave, Philadelphia, PA 19104-4551
Phone: 2158235800

SHRUTI REDDY KOMMAREDDY (NPI# 1225463284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225463284
Entity Type Individual
Full Name SHRUTI REDDY KOMMAREDDY
Credential DPM
Practice Address 3900 Woodland Ave
Philadelphia
PA 19104-4551
Practice Telephone 2158235800
Enumeration Date 2013-09-10
Last Update Date 2013-09-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery 		SC006523 PA Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 3900 WOODLAND AVE
City PHILADELPHIA
State PA
Zip Code 19104-4551

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851389837 Richard Alsdorf Jr. Nurse Anesthetist, Certified Registered 3900 Woodland Ave, Philadelphia, PA 19104-4551 2005-10-12
1487254744 Jason Anthony Checchia Nurse Practitioner 3900 Woodland Ave, Philadelphia, PA 19104-4551 2020-10-27
1639778327 Bridget Murray Physician Assistant 3900 Woodland Ave, Philadelphia, PA 19104-4551 2020-10-22
1114525367 Madison Brannon Emergency Medicine 3900 Woodland Ave, Philadelphia, PA 19104-4551 2020-10-10
1275131526 Jonathan Mark Riley Jr. Social Worker 3900 Woodland Ave, Philadelphia, PA 19104-4551 2020-10-09
1326655812 Ashley Jill Maister Pharmacist 3900 Woodland Ave, Philadelphia, PA 19104-4551 2020-09-28
1467079103 Rohit Singla Student in an Organized Health Care Education/Training Program 3900 Woodland Ave, Philadelphia, PA 19104-4551 2020-06-29
1851918585 Matthew Clayton Mckeeman Student in an Organized Health Care Education/Training Program 3900 Woodland Ave, Philadelphia, PA 19104-4551 2020-06-29
1699392316 Jooyeon Park Student in an Organized Health Care Education/Training Program 3900 Woodland Ave, Philadelphia, PA 19104-4551 2020-06-29
1205453941 Lauren Miller Student in an Organized Health Care Education/Training Program 3900 Woodland Ave, Philadelphia, PA 19104-4551 2020-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326656208 Delaney Wickramage Podiatrist 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 2020-07-16
1659834604 Anthony Errico Podiatrist 235 N Broad St Ste 3, Philadelphia, PA 19107-1531 2019-04-08
1508388794 Farhad Foroudi Podiatrist 8835 Germantown Ave Ste 105a, Philadelphia, PA 19118-2718 2017-07-10
1720460884 Muhaiminu Hossain Podiatrist 240 N Broad St, Philadelphia, PA 19102-1121 2015-06-25
1497161293 Soyun Victoria Park Podiatrist 6628 Souder St, Philadelphia, PA 19149-2206 2014-07-01
1679988620 Brett Thomas Williams Podiatrist 1934 Waverly St, C204, Philadelphia, PA 19146-1456 2014-06-29
1588007876 Complete Foot & Ankle L.L.C. Podiatrist 2350 Tremont St, #410, Philadelphia, PA 19115-5030 2013-04-17
1457601494 Maikel Griages Podiatrist 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 2012-09-18
1457606865 David Portonova Podiatrist 235 North Broad Street, Philadelphia, PA 19102 2012-07-23
1649568056 Nekeisha Alexander Abdul-hakim Podiatrist 6635 Chew Ave, Philadelphia, PA 19119 2011-07-19
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Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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