Provider Demographics
NPI:1609077841
Name:REDDY, USHA P (MD)
Entity Type:Individual
Prefix:
First Name:USHA
Middle Name:P
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6035 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3256
Mailing Address - Country:US
Mailing Address - Phone:704-295-3000
Mailing Address - Fax:
Practice Address - Street 1:10305 HAMPTONS PARK DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-7217
Practice Address - Country:US
Practice Address - Phone:704-295-3600
Practice Address - Fax:704-892-3181
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2021-04-26
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Provider Licenses
StateLicense IDTaxonomies
NC2009-00215207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP01352651OtherRAILROAD MEDICARE
SCQ1500Medicaid
1470784OtherWELLPATH
SCQ15000Medicaid
NC1528XOtherBLUE CROSS BLUE SHIELD
NCNC8506BOtherMEDICARE
SC1053561OtherWELLCARE OF SC
SC30179939OtherSELECT HEALTH
NC3385593OtherCIGNA