Provider Demographics
NPI:1033276902
Name:REDDY, PRAMOD P (MD)
Entity Type:Individual
Prefix:
First Name:PRAMOD
Middle Name:P
Last Name:REDDY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3333 BURNET AVENUE
Mailing Address - Street 2:ML 5021
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3039
Mailing Address - Country:US
Mailing Address - Phone:513-636-9985
Mailing Address - Fax:866-213-7089
Practice Address - Street 1:3333 BURNET AVENUE
Practice Address - Street 2:ML 5037
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3039
Practice Address - Country:US
Practice Address - Phone:513-636-4975
Practice Address - Fax:866-213-7089
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2009-12-02
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Provider Licenses
StateLicense IDTaxonomies
OH35.0802542088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5H983Medicare PIN