Provider Demographics
NPI:1982666780
Name:REDDY, PATRICIA A (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-2348
Mailing Address - Fax:717-851-2426
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-2348
Practice Address - Fax:717-851-2426
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024537E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1582720OtherGATEWAY-WMG
PA277978OtherUNISON-WMG
PA277991OtherUNISON-YH
PA20092119OtherAMERIHEALTH MERCY-YHCHC
PA074706OtherHIGHMARK BLUE SHIELD
PA277986OtherUNISON-YHCHC
MD954363OtherCAREFIRST MD BCBS-WMG
PA30139638OtherAMERIHEALTH MERCY-YHOBGYN
PA007076753Medicaid
02505300OtherBLUE CROSS
PA20009969OtherAMERIHEALTH MERCY-WMG
PA277986OtherUNISON-YHCHC
PA1582720OtherGATEWAY-WMG
C29074Medicare UPIN
PA277978OtherUNISON-WMG
PA277991OtherUNISON-YH