Provider Demographics
NPI:1558865543
Name:KEDIKA, SINDHUJA REDDY (MD)
Entity Type:Individual
Prefix:DR
First Name:SINDHUJA
Middle Name:REDDY
Last Name:KEDIKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SINDHUJA
Other - Middle Name:
Other - Last Name:KOREM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3600 ROUTE 66 FL 3
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-2645
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19 DAVIS AVE
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4488
Practice Address - Country:US
Practice Address - Phone:732-776-2484
Practice Address - Fax:732-776-5514
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA12008700207RR0500X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program