Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 27964 | OK |
Y | 207RI0200X | Infectious Disease | MD60793377 | WA |
NPI | 1053630186 |
---|---|
Provider Name | Dr. Deeksha Loomba Reddy |
First Address | Seattle, WA 98112-5211 |
Second Address | Seattle, WA 98112-5211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2010 |
Last Update Date | 28/04/2021 |