Provider Demographics
NPI:1033592712
Name:REDDY, SANHITA (MD)
Entity Type:Individual
Prefix:
First Name:SANHITA
Middle Name:
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3222 BRIARWOOD
Mailing Address - Street 2:
Mailing Address - City:FORTUNA
Mailing Address - State:CA
Mailing Address - Zip Code:95540-3280
Mailing Address - Country:US
Mailing Address - Phone:707-725-0810
Mailing Address - Fax:
Practice Address - Street 1:222 STATION PLAZA NORTH
Practice Address - Street 2:SUITE 509
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501
Practice Address - Country:US
Practice Address - Phone:516-663-2781
Practice Address - Fax:516-663-8796
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program