Provider Demographics
NPI:1497923411
Name:REDDY, SANJIT (MD)
Entity Type:Individual
Prefix:
First Name:SANJIT
Middle Name:
Last Name:REDDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 COLUMBIA ST., SUITE 600
Mailing Address - Street 2:SWEDISH ORGAN TRANSPLANT
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2046
Mailing Address - Country:US
Mailing Address - Phone:206-215-3513
Mailing Address - Fax:206-386-3622
Practice Address - Street 1:1124 COLUMBIA ST., SUITE 600
Practice Address - Street 2:SWEDISH ORGAN TRANSPLANT
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2046
Practice Address - Country:US
Practice Address - Phone:206-215-3513
Practice Address - Fax:206-386-3622
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-14535207R00000X, 208M00000X
WAMD60394318207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist