SREENIVAS GUDDETI REDDY (NPI# 1689664807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689664807 |
Entity Type | Individual |
Full Name | SREENIVAS GUDDETI REDDY |
Other Name | SREENIVAS R GUDDETI |
Credential | MD |
Practice Address |
300 Randall Rd Geneva IL 60134-4200 |
Mailing Address |
825 W State St Geneva IL 60134-2080 |
Practice Telephone | 6302084412 |
Mailing Telephone | 6302084412 |
Enumeration Date | 2005-10-27 |
Last Update Date | 2017-05-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036096152 | IL | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01053878 | IN | Allopathic & Osteopathic Physicians |
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
036096152 | IL | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
01053878 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200339250 | 05 |
Street Address |
300 RANDALL RD |
City | GENEVA |
State | IL |
Zip Code | 60134-4200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407859655 | Delnor-community Hospital | General Acute Care Hospital | 300 Randall Rd, Geneva, IL 60134-4200 | 2005-05-23 |
1811524994 | Daniel Reine | Student in an Organized Health Care Education/Training Program | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-26 |
1336776400 | Hope Christiansen | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-26 |
1962039677 | Ellean Zhang | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-24 |
1730716598 | Han Myoung Park | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-23 |
1225664220 | Autumn E Bernicky | Student in an Organized Health Care Education/Training Program | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-21 |
1457985350 | Kinga Radowska | Student in an Organized Health Care Education/Training Program | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-02-28 |
1104387885 | Rachel Elizabeth Dewey | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2019-03-26 |
1649739913 | Evan Justin Hale | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2019-03-17 |
1124557152 | Josephine Soyoung Lee-kim | Hospitalist | 300 Randall Rd, Geneva, IL 60134-4200 | 2017-06-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
Find all providers in zip 60134 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104378942 | Radiology Subspecialists of Northern Illinois, LLC | Radiology | 825 W State St, Suite 103e, Geneva, IL 60134-2080 | 2016-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
1659930998 | Howard Simon Md PC | Radiology | 446 E Ontario St Ste 106, Chicago, IL 60611-7110 | 2019-06-11 |
1982119319 | Vein and Vascular Centers, Sc | Radiology | 7 N Grant St Ste 1, Hinsdale, IL 60521-3366 | 2017-12-07 |
1114438769 | Advanced Midwest Interventional Radiology, LLC | Radiology | 1890 Silver Cross Blvd Ste 455, New Lenox, IL 60451-9546 | 2017-10-21 |
1528440690 | Tarek Jazmati | Radiology | 1653 W Congress Pkwy # 181, Chicago, IL 60612-3833 | 2015-06-24 |
1316351232 | Smg Billing, LLC | Radiology | 1105 S. Western Ave., Chicago, IL 60612 | 2014-06-18 |
1013270982 | Sean David Pietrini | Radiology | 1500 W Monroe St, Apartment 118, Chicago, IL 60607 | 2012-06-16 |
1417240102 | Sameul Hanif | Radiology | 7808 W College Dr Ste 1se, Palos Heights, IL 60463-1095 | 2011-05-27 |
1649563842 | Alex Edward Heaton | Radiology | 911 N Elm St Ste 128, Hinsdale, IL 60521-3640 | 2011-05-20 |
1932426863 | Lifeline Vascular Access Network, LLC | Radiology | Three Hawthorn Parkway, Suite 410, Vernon Hills, IL 60061-1450 | 2010-05-03 |
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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.