DR. SUDHAKAR A REDDY (NPI# 1063458735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063458735 |
| Entity Type | Individual |
| Full Name | DR. SUDHAKAR A REDDY |
| Other Name | DR. SUDY A REDDY |
| Credential | MD |
| Practice Address |
5555 E Baseline Rd Mesa AZ 85206-4709 |
| Practice Telephone | 4803935075 |
| Practice Fax Number | 4807044019 |
| Mailing Telephone | 4803935075 |
| Mailing Fax Number | 4807044019 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
36640 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD043886E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 01748642 | 05 | |
| AZ | 194943 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649561309 | Sudhakar D Reddy | Anesthesiology | 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 | 2011-04-28 |
| 1295763753 | Sudhakar Reddy | Specialist | 204 E 19th St, Panama City, FL 32405-4707 | 2006-06-30 |
| 1932174075 | Sudhakar P Reddy | Specialist | 200 Lothrop St, Wing 5b Puh, Pittsburgh, PA 15213-2546 | 2006-02-22 |
| Street Address |
5555 E BASELINE RD |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553175 | Cristia Marzano | Nurse Practitioner | 5555 E Baseline Rd, Mesa, AZ 85206-4709 | 2019-05-13 |
| 1770049173 | Dana Lynn Cook | Nurse Practitioner | 5555 E Baseline Rd, Mesa, AZ 85206-4709 | 2019-02-11 |
| 1700341831 | Tina Marie Jones | Nurse Practitioner | 5555 E Baseline Rd, Mesa, AZ 85206-4709 | 2019-02-03 |
| 1134602923 | Maria Norivic Laraya Soriano | Family Medicine | 5555 E Baseline Rd, Mesa, AZ 85206-4709 | 2018-09-08 |
| 1568699304 | Tushar Gohel | Internal Medicine | 5555 E Baseline Rd, Mesa, AZ 85206-4709 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861734915 | Jordan Taylor Vulcano | Internal Medicine | 1801 S. Crismon Road, Suite 191, Mesa, AZ 85209 | 2013-03-26 |
| 1710145974 | Carlos Fernando Zapata Antigoni | Internal Medicine | 3638 East Southern Avenue, C-108, Mesa, AZ 85206-2563 | 2008-05-23 |
| 1548370109 | Shahbaz Qureshi | Internal Medicine | 1810 S Crismon Rd Ste 191, Mesa, AZ 85209-3900 | 2006-08-30 |
| 1205878196 | Digestive Disease Consultants PC | Internal Medicine | 6020 E Arbor Avenue, Suite 101, Mesa, AZ 85206 | 2006-06-12 |
| 1790746717 | Philip Gregory Foutch | Internal Medicine | 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047 | 2006-03-29 |
| 1295114932 | Amulya Reddy | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2015-05-27 |
| 1194142166 | Wesley Prichard | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2014-03-27 |
| 1720420557 | Sara Elizabeth Ancello | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2013-07-22 |
| 1164775698 | Arizona Gastro Care | Internal Medicine | 10238 E Hampton Ave, #305, Mesa, AZ 85209-3316 | 2012-10-22 |
| 1619107547 | Desert Gastroenterology Associates Pllc | Internal Medicine | 1520 S Dobson Rd, Suite 212, Mesa, AZ 85202-4725 | 2009-07-27 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.