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Contact Information

SANTOSH B REDDY, MD
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ86504
 Phone: 928-729-8713
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SANTOSH B REDDY · (Male)

NPI # 1114000833
Status Active
Credentials MD
Entity Individual
Enumeration date 10/24/2006
Last updated 10/02/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C1-0001770
  • DE Medicaid 000166002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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