Provider Demographics
NPI:1861462715
Name:REDDY, V SNEHAPRABHA (MD)
Entity Type:Individual
Prefix:DR
First Name:V
Middle Name:SNEHAPRABHA
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SNEHAPRABHA
Other - Middle Name:V
Other - Last Name:REDDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:503 BURLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-4216
Mailing Address - Country:US
Mailing Address - Phone:256-259-1886
Mailing Address - Fax:256-259-6838
Practice Address - Street 1:503 BURLINGTON ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768-4216
Practice Address - Country:US
Practice Address - Phone:256-259-1886
Practice Address - Fax:256-259-6838
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00004354207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL060000680OtherRAILROAD MEDICARE
AL4050049OtherAETNA
AL000009599Medicaid
AL510-09599OtherBCBS OF AL
AL000009599Medicaid