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Contact Information

SHUBHADA REDDY, MD
221 NE GLEN OAK AVE
PEORIA, IL61636
 Phone: 309-495-1640
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SHUBHADA REDDY · (Female)

NPI Number 1154856607
Status Active
Credentials MD
Entity Individual
Enumeration date 04/21/2017
Last updated 07/23/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 00000000000000000000
  • TX License # T2251
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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