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Contact Information

MADIREDDY SUBBAREDDY MD PC
14015 SANFORD AVE
FLUSHING, NY11355
 Phone: 718-353-5856
 Fax: 718-870-6479
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for MADIREDDY SUBBAREDDY MD PC · (Female)

NPI # 1154433340
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 112106
  • NY Medicaid 00202584
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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