Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 01065220 | IN |
NPI | 1003922584 |
---|---|
Provider Name | Dr. Parishurama Sankepally Reddy |
First Address | Indianapolis, IN 46202-1252 |
Second Address | Indianapolis, IN 46202-1252 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 03/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200892450 | (05) | IN |