Provider Demographics
NPI:1043244999
Name:REDDY, SAROJA T (MD)
Entity Type:Individual
Prefix:DR
First Name:SAROJA
Middle Name:T
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 1:5 WOODGREEN DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-9430
Mailing Address - Country:US
Mailing Address - Phone:585-387-0196
Mailing Address - Fax:585-463-2632
Practice Address - Street 1:5 WOODGREEN DR
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-9430
Practice Address - Country:US
Practice Address - Phone:585-387-0196
Practice Address - Fax:585-463-2632
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153054174400000X
NY151054-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered174400000XOther Service ProvidersSpecialist
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine