Provider Demographics
NPI:1700998747
Name:REDDI, USHA K (MD)
Entity Type:Individual
Prefix:
First Name:USHA
Middle Name:K
Last Name:REDDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:USHA
Other - Middle Name:
Other - Last Name:NALAMALAPU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-0146
Mailing Address - Country:US
Mailing Address - Phone:360-565-9237
Mailing Address - Fax:360-582-4202
Practice Address - Street 1:777 N 5TH AVE STE 106
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3080
Practice Address - Country:US
Practice Address - Phone:360-582-4200
Practice Address - Fax:360-582-4202
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60798668207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine