DR. PURUSHOTTAM M REDDY (NPI# 1205821170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205821170 |
| Entity Type | Individual |
| Full Name | DR. PURUSHOTTAM M REDDY |
| Credential | MD |
| Practice Address |
14134 Nephron Lane Hudson FL 34667 |
| Mailing Address |
14134 Nephrone Lane Renal Hypertension Center Hudson FL 34667 |
| Practice Telephone | 7278635418 |
| Practice Fax Number | 7278698626 |
| Mailing Telephone | 7278635418 |
| Mailing Fax Number | 7278698626 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2010-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME005664 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GHI | 2504281 | 01 | |
| QUALITY DELTA | PRO127 | 01 | |
| FIRST HEALTH | 933673 | 01 | |
| CCN | 933673 | 01 | |
| CITRUS HEALTH CARE | 10501601 | 01 | |
| UNIVERSAL | 01245 | 01 | |
| CIGNA | 2217334 | 01 | |
| HUMANA | 593068073 | 01 | |
| PCHS | 593068073 | 01 | |
| WELLCARE | 09594 | 01 | |
| OPTIMUM | 1042 | 01 | |
| AV-MED | 210962 | 01 | |
| HUMANA MILITARY | 593068073 | 01 | |
| AETNA | 0004106456 | 01 | |
| FL | 052954100 | 05 | |
| MEDICARE RR | 110069456 | 01 | |
| SOUTHCARE | 593068073 | 01 |
| Street Address |
14134 NEPHRON LANE |
| City | HUDSON |
| State | FL |
| Zip Code | 34667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1871588350 | Linda J Badillo | Internal Medicine | Renal Hypertension Center, 14134 Nephrone Lane, Hudson, FL 34667 | 2005-09-12 |
| 1356340806 | Kedar R. Shetye | Internal Medicine | 14134 Nephron Ln, Hudson, FL 34667-6504 | 2005-07-18 |
| 1730508144 | Linda Katherine Bernard | Internal Medicine | Renal Hypertension Center, 14134 Nephron Lane, Hudson, FL 34667 | 2014-04-14 |
| 1518982750 | Daisy B. Reyes | Internal Medicine | 14134 Nephron Ln, Hudson, FL 34667-6504 | 2006-07-12 |
| 1073569232 | Vinod K Gupta | Internal Medicine | 67 Prospect Ave, Suite 210, Hudson, NY 12534-2907 | 2006-05-26 |
| 1336195510 | Vinny Anand | Internal Medicine | 67 Prospect Ave, Suite 210, Hudson, NY 12534-2907 | 2006-05-26 |
| 1831142561 | Sudhindra Pudur | Internal Medicine | 14134 Nephron Ln, Hudson, FL 34667-6504 | 2006-05-17 |
| 1801846464 | Ashok Pandit | Internal Medicine | 14153 Yosemite Dr, Suite 203, Hudson, FL 34667-8060 | 2006-05-12 |
| 1265427728 | Srinivas K Hariachar | Internal Medicine | 14134 Nephron Ln, Hudson, FL 34667-6504 | 2005-09-12 |
| 1225023716 | Muralidhar K Acharya | Internal Medicine | 14134 Nephron Ln, Hudson, FL 34667-6504 | 2005-09-12 |
| Find all providers in HUDSON | ||||
Please comment or provide details below to improve the information on DR. PURUSHOTTAM M REDDY.
| 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.