SIRISHA P REDDY (NPI# 1710080130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710080130 |
| Entity Type | Individual |
| Full Name | SIRISHA P REDDY |
| Credential | MD |
| Practice Address |
2828 1st Ave Ste 510 Huntington WV 25702-1236 |
| Mailing Address |
Po Box 4190 Barboursville WV 25504-4190 |
| Practice Telephone | 3043997533 |
| Practice Fax Number | 3043997507 |
| Mailing Telephone | 3043994405 |
| Mailing Fax Number | 3043992526 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
27513 | WV | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME102395 | FL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M5900 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1710080130 | 05 | |
| TX | BCBS | 8X7818 | 01 |
| OH | 0213056 | 05 | |
| WV | BCBS | 3559611 | 01 |
| TX | 187364801 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 147 Willow Tree Way, Hurricane, WV 255261085 | 3043973002 | 3043973007 |
| 2603 Wyndsor Oaks Ct, Winter Haven, FL 338843088 | 8639567113 |
| Street Address |
2828 1ST AVE STE 510 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25702-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154388254 | Aamir Adnan Cheema | Internal Medicine | 2828 1st Ave Ste 510, Huntington, WV 25702-1236 | 2006-05-01 |
| 1306302468 | Jessica Paige Sparks | Nurse Practitioner | 2828 1st Ave Ste 510, Huntington, WV 25702-1236 | 2019-02-13 |
| 1891205167 | Melissa Lynn Chapman | Nurse Practitioner | 2828 1st Ave Ste 510, Huntington, WV 25702-1236 | 2017-10-02 |
| 1073989638 | Tina Hill | Nurse Practitioner | 2828 1st Ave Ste 510, Huntington, WV 25702-1236 | 2015-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692306 | Jessica Nicole Hankins | Social Worker | 2769 Collins Avenue, Huntington, WV 25702 | 2020-05-29 |
| 1932750338 | Dasllastiene Cabell | Technician | 6188 Little 7 Mile Rd, Huntington, WV 25702 | 2019-09-26 |
| 1295386134 | Hope Vance | Technician | 2 Sam Collins Road, Huntington, WV 25702 | 2019-09-23 |
| 1649726373 | Erin Nicole Wingate | Emergency Medicine | 2828 1st Ave., Huntington, WV 25702 | 2016-09-01 |
| 1639545510 | Ready Set Relax LLC | Massage Therapist | 2411 3rd Avenue, Huntington, WV 25702 | 2015-08-14 |
| 1780709923 | M N Saleme Surgery Inc | Surgery | 2828 First Ave, Suite 205, Huntington, WV 25702 | 2007-03-20 |
| 1558496489 | Rajendra K Jain Urology Inc | Urology | 2828 First Ave Suite 204, Huntington, WV 25702 | 2007-02-22 |
| 1578621678 | Andrea R Ferguson | Registered Nurse | 2860 3rd Ave Suite 10, Huntington, WV 25702 | 2006-12-04 |
| 1588742688 | Tri State Neurology Pllc | Psychiatry & Neurology | 2860 Third Ave, Suite 20, Huntington, WV 25702 | 2006-11-02 |
| 1790889905 | All Med LLC | Durable Medical Equipment & Medical Supplies | 410 Seventh Ave, Huntington, WV 25702 | 2006-09-08 |
| Find all providers in zip 25702 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1154617678 | Carlos Alberto Rueda Rios | Internal Medicine | 1249 15th St Ste 4000, Huntington, WV 25701-3663 | 2011-06-23 |
| 1861522294 | Leonard Pulerwitz | Internal Medicine | 4 Mannetto Court, Huntington, NY 11743-6603 | 2007-03-06 |
| 1467452805 | Richard Joseph | Internal Medicine | 205 E Main St, Suite1-4, Huntington, NY 11743-2923 | 2005-07-28 |
| 1104829407 | Rajeswara R. Patcha | Internal Medicine | 172 E Main St, Huntington, NY 11743-2948 | 2005-05-31 |
| 1477986297 | Balveen Singh Md Pllc | Internal Medicine | 172 E Main St, Huntington, NY 11743-2948 | 2013-08-15 |
| 1942554316 | Cabell Huntington Hospital | Internal Medicine | 1340 Hal Greer Blvd, Huntington, WV 25701-3800 | 2012-11-06 |
| 1043514011 | Adam Ross Davis | Internal Medicine | 172 E Main St, Huntington, NY 11743-2948 | 2011-01-05 |
| 1114237047 | Richard S Joseph Md PC | Internal Medicine | 205 E Main St, Suite1-4, Huntington, NY 11743-2923 | 2010-10-13 |
| 1205148350 | Paul Imoudu Okhumale | Internal Medicine | 1249 15th St, Suite 4000, Huntington, WV 25701-3662 | 2010-07-06 |
| 1558516021 | Anil George Mathew | Internal Medicine | 241 E Main St, Huntington, NY 11743-2917 | 2008-11-24 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25702 |
Please comment or provide details below to improve the information on SIRISHA P 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.