SANTOSH BANDUGULA REDDY


Address: Corner of Route N12 and N7, Fort Defiance, AZ 86504
Phone: 9287298713

SANTOSH BANDUGULA REDDY (NPI# 1114000833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114000833
Entity Type Individual
Full Name SANTOSH BANDUGULA REDDY
Credential MD
Practice Address Corner of Route N12 and N7
Fort Defiance
AZ 86504
Mailing Address P.o Box 589
Fort Defiance Indian Hospital Board
Fort Defiance
AZ 86504
Practice Telephone 9287298713
Mailing Telephone 9287298713
Mailing Fax Number 9287298734
Enumeration Date 2006-10-24
Last Update Date 2014-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics C1-0001770 DE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DE 000166002 05

Other Providers SANTOSH REDDY

NPI Name Taxonomy Address Enumeration
1225298391 Santosh R Reddy Family Medicine 17002 Gleneagle Dr. South, Conroe, TX 77385 2008-06-12
1598184608 Santosh Neelam Reddy Hospitalist 5 Tampa General Cir # 750, Tampa, FL 33606 2014-04-16
1154382869 Santosh P. Reddy Internal Medicine 50 N Medical Dr, Salt Lake City, UT 84132-0100 2006-03-31

Office Location

Street Address CORNER OF ROUTE N12 AND N7
City FORT DEFIANCE
State AZ
Zip Code 86504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326040577 John R Thompson Orthopaedic Surgery Corner of Route N12 and N7, Fort Defiance, AZ 86504 2005-06-01
1194348524 Shanna Michelle George Respiratory Therapist, Registered Corner of Route N12 and N7, Fort Defiance, AZ 86504-0589 2020-05-20
1265077267 Stanislava Manojlovic Pharmacist Corner of Route N12 and N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504-0649 2019-11-13
1033767371 Dakota Kay Physical Therapist Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 2019-08-29
1053964452 Jenny Dietz Nurse Practitioner Corner of Route N12 and N7, Fort Defiance, AZ 86504 2019-07-24
1386296648 Tessa Tahereh Facer Physician Assistant Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 2019-07-16
1346892056 Amanda Barnes Physician Assistant Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 2019-07-12
1295206779 Craig Amidon Fox Physical Therapist Corner of Route N12 and N7, Fort Defiance, AZ 86504 2018-12-10
1134698517 Christa Lee Advanced Practice Midwife Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 2018-11-15
1518440007 Ethan Curleyhair Dentist Corner of Route N12 and N7, Fort Defiance, AZ 86504 2018-09-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807664 Clifford Charles Pharmacist Corners of Route 7&12, Fort Defiance, AZ 86504 2020-10-06
1720605207 Christopher A Will Registered Nurse 2126-1 Shandiin Circle, Fort Defiance, AZ 86504 2020-06-30
1750904207 Crystal Salaz Respiratory Therapist, Registered Corner of Roue N12 and N7, Fort Defiance, AZ 86504 2020-05-19
1003451600 Rebecca Reeve Pharmacist Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 2019-11-07
1851947485 David Glen Webb Pharmacist Hwy 12 Nr 110, Fort Defiance, AZ 86504 2019-08-09
1952963647 Eukerison Bobby Tsinajinie Counselor .25 Miles S Fieldhouse Ra 6905, Fort Defiance, AZ 86504 2019-07-02
1770145567 Joann Tso I Counselor 1/4 Mile Ne of Ft. Defiance Fieldhouse, Ft. Defiance, AZ 86504 2019-07-02
1174185961 James Leslie Counselor 1/4 Mile South of Ft Defiance Fieldhouse Ra#6905, Ft Defiance, AZ 86504 2019-07-02
1184192163 Miranda Frances Blatchford Social Worker .5 Miles Sw of The Fd Field House, Bldg #6905, Fort Defiance, AZ 86504 2018-11-07
1477030914 Michelle Rosario Dietitian, Registered Fort Defiance Indian Hospital Board, Inc., Corner of Route N12 and N7, Fort Defiance, AZ 86504 2018-07-27
Find all providers in zip 86504

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205152006 Junko Nakai Pediatrics Corner of Route 7 and Route 12, Fort Defiance, AZ 86504-0649 2010-04-19
1437337391 John Michael Lambert Pediatrics Navajo Route N12 and N7, Fdih Tsehootsooi Medical Center Navajo Nation, Fort Defiance, AZ 86504 2008-02-03
1235204132 Douglas Henry Esposito Pediatrics Corner N12 and N7, Fort Defiance, AZ 86504-0649 2006-11-24
1760552509 Karina Craine Pediatrics Corner of Route N7 and N1, Fort Defiance Indian Hospital, Fort Defiance, AZ 86504 2006-11-09
1225563646 Loryn Ashlee Wilson Pediatrics Corner of Route N12 & N7, Fort Defiance, AZ 86504 2017-04-24
1841649225 Melissa Knudson Pediatrics Corner of Route N12 and N7, Fort Defiance, AZ 86504 2016-06-07
1346508660 Juan Carlos Luna Pediatrics Corner of Route N12 and N7, Fort Defiance, AZ 86504 2012-04-24
1417122441 Sarah Rose Wheatley Hartnett Pediatrics Corner of N12 and N7, Fort Defiance Indian Hospital, Fort Defiance, AZ 86504 2008-04-30
1316071186 Paul D Smith Pediatrics Corner of N12 and N7, Fort Defiance, AZ 86504 2007-03-15
1487713921 Richard Rougeux Pediatrics Corner of Route N12 and N7, Fort Defiance, AZ 86504-0108 2006-12-08
Find all providers in FORT DEFIANCE

Competitor

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City FORT DEFIANCE
Zip Code 86504

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Dataset Information

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.

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