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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

NPI # 1154433340
LBN Legal business name MADIREDDY SUBBAREDDY MD PC
Authorized official MADIREDDY SUBAREDDY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # 112106
NY Medicaid 00202584
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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