Provider Demographics
NPI:1649606971
Name:REDDY, SOWMYA KRISHNA (MD)
Entity type:Individual
Prefix:
First Name:SOWMYA
Middle Name:KRISHNA
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 1:600 EAST 233 RD STREET
Mailing Address - Street 2:MONTEFIORE MEDICAL CENTER, WAKEFIELD DIVISION,
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466
Mailing Address - Country:US
Mailing Address - Phone:718-920-9880
Mailing Address - Fax:718-920-9036
Practice Address - Street 1:600 EAST 233 RD STREET
Practice Address - Street 2:MONTEFIORE MEDICAL CENTER, WAKEFIELD DIVISION,
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466
Practice Address - Country:US
Practice Address - Phone:718-920-9880
Practice Address - Fax:718-920-9036
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR2453207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine