Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 55144 | AZ |
N | 207KA0200X | Allergist | 55144 | AZ |
N | 207KA0200X | Allergist | L7533 | TX |
NPI | 1730185711 |
---|---|
Provider Name | Dr. Uday K. Reddy |
First Address | Charlotte, NC 28260-3725 |
Second Address | Phoenix, AZ 85018-2782 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 04/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I01428 | (02) | TX |