Provider Demographics
NPI:1134429111
Name:REDDY, SIREESHA B (MD)
Entity type:Individual
Prefix:DR
First Name:SIREESHA
Middle Name:B
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:509 PARLIAMENT ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2043
Mailing Address - Country:US
Mailing Address - Phone:240-508-0418
Mailing Address - Fax:
Practice Address - Street 1:765 ROUTE 10 E
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-1925
Practice Address - Country:US
Practice Address - Phone:973-989-0068
Practice Address - Fax:973-361-8955
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08837000207RI0200X
MDD78661207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease