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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | C1-0001770 | DE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DE | 000166002 | 05 |
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 |
Street Address |
CORNER OF ROUTE N12 AND N7 |
City | FORT DEFIANCE |
State | AZ |
Zip Code | 86504 |
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 |
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 Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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 |
City | FORT DEFIANCE |
Zip Code | 86504 |
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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.