Proddutur V Reddy (NPI# 1609946151, PAC ID# 9638353139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1609946151 |
| PAC ID by PECOS | 9638353139 |
| Professional Enrollment ID | I20110407000333 |
| Full Name | Proddutur V Reddy |
| Address |
925 Nw 15th Ave Ardmore OK 73401-1809 |
| Phone Number | 5802230011 |
| Gender | M |
| Graduation Year | 1970 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370047 | MERCY HOSPITAL ARDMORE, INC |
| Address | Phone | Organization |
|---|---|---|
| 925 Nw 15th Ave, Ardmore, OK 73401-1809 | 5802230011 | |
| 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 4057551515 | MERCY CLINIC OKLAHOMA COMMUNITIES |
| 4300 W Memorial Rd, Mercy Health Center, Oklahoma City, OK 73120-8304 | 4057551515 | MERCY CLINIC OKLAHOMA COMMUNITIES |
| Street Address |
925 NW 15TH AVE |
| City | ARDMORE |
| State | OK |
| Zip | 73401-1809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip E Carron | Family Medicine | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Vanessa Pearson | Preventative Medicine | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Pinky B Pratt | Nurse Practitioner | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Stephanie Sims | Nurse Practitioner | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Marci Story | Nurse Practitioner | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Margaret I Scifres | Nurse Practitioner | Healthworks Medical Group of Oklahoma, P.C. | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Suzanne Tuck | Nurse Practitioner | Healthworks Medical Group of Oklahoma, P.C. | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Phillip Nokes | Family Practice | Healthworks Medical Group of Oklahoma, P.C. | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Stephen Klassen | Physical Therapy | Imc of Oklahoma LLC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Joel K Troop | Orthopedic Surgery | Southern Oklahoma Multiple Services Inc P C | 2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206 |
| Find all physicians in zip 73401 | |||
| City | ARDMORE |
| Zip Code | 73401 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | ARDMORE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Proddutur V Reddy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.