National Provider Identifier Database

MADIREDDY SUBBAREDDY MD PC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

MADIREDDY SUBBAREDDY MD PC
14015 SANFORD AVE
FLUSHING, NY11355
Phone: 718-353-5856
Fax: 718-870-6479
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for MADIREDDY SUBBAREDDY MD PC

NPI Number 1154433340
Legal business name
LBN
MADIREDDY SUBBAREDDY MD PC
Authorized official MADIREDDY SUBAREDDY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/31/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 112106
  • NY Medicaid: 00202584

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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