Provider Demographics
NPI:1700038882
Name:BHEEMREDDY, SWARNALATHA REDDY (MD)
Entity Type:Individual
Prefix:DR
First Name:SWARNALATHA
Middle Name:REDDY
Last Name:BHEEMREDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SWARNA
Other - Middle Name:REDDY
Other - Last Name:BHEEMREDDY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 824804
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-4804
Mailing Address - Country:US
Mailing Address - Phone:302-421-4828
Mailing Address - Fax:302-421-6971
Practice Address - Street 1:701 N CLAYTON ST STE 533A
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3165
Practice Address - Country:US
Practice Address - Phone:302-421-4828
Practice Address - Fax:302-421-6971
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0008854207R00000X
PAMD446533208600000X
DEC10008854207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery