DR. SANJEEVA REDDY ONTEDDU (NPI# 1548490428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548490428 |
| Entity Type | Individual |
| Full Name | DR. SANJEEVA REDDY ONTEDDU |
| Credential | M.D. |
| Practice Address |
508 Gamble Rd Little Rock AR 72211-3210 |
| Practice Telephone | 6098650813 |
| Mailing Telephone | 6098650813 |
| Enumeration Date | 2009-07-25 |
| Last Update Date | 2014-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
E-8452 | AR | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
E-8452 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
508 GAMBLE RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104260819 | Rebecca Lee Jones | Psychiatry & Neurology | 8201 Cantrell Rd Ste 265, Little Rock, AR 72227-2347 | 2013-04-24 |
| 1811242639 | Mhd Ezzat Zaghlouleh | Psychiatry & Neurology | 501 Jack Stephens Dr Fl 8, Little Rock, AR 72205 | 2012-07-18 |
| 1457517864 | Vasuki Dandu | Psychiatry & Neurology | 9600 Baptist Health Drive, Suite 320, Little Rock, AR 72205-6322 | 2008-08-05 |
| 1437370467 | Donald Paul Brady | Psychiatry & Neurology | 430 W 7th St, Little Rock, AR 72201 | 2007-05-01 |
| 1073733341 | Mary J Searcy Mdpa | Psychiatry & Neurology | 9601 Interstate I 630, Little Rock, AR 72205 | 2007-04-27 |
| 1467418228 | Willis Courtney Jr. | Psychiatry & Neurology | 5100 West 12th Street, Little Rock, AR 72204 | 2006-04-21 |
| 1346610946 | Arkansas Health Group | Psychiatry & Neurology | 9601 Baptist Health Dr Ste 750, Little Rock, AR 72205-6370 | 2015-09-25 |
| 1750776993 | Humaira Khan | Psychiatry & Neurology | 4301 W Markham St, Little Rock, AR 72205-7101 | 2015-04-04 |
| 1720408354 | Erika Horta | Psychiatry & Neurology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2014-04-22 |
| 1255771465 | Nidhi Kapoor | Psychiatry & Neurology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2013-07-02 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on DR. SANJEEVA REDDY ONTEDDU.
| 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.