Satish Kumar Reddy Gaddam
Neurologist
1504 Dodson Ave
Fort Smith
, Arkansas 72901-5128
Satish Kumar Reddy Gaddam
Neurologist
1504 Dodson Ave
Fort Smith
, Arkansas 72901-5128
(479) 709-7180
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Satish Kumar Reddy Gaddam
- 5375 Coit Rd Ste 130
- Frisco, TX
- Zip : 75035-4914
- Fax : (479) 709-7180
- Phone : (479) 709-7175
Second Address
- Satish Kumar Reddy Gaddam
- 1504 Dodson Ave
- Fort Smith, AR
- Zip : 72901-5128
- Fax : (479) 709-7180
- Phone : (479) 709-7175
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | R7734 | TX |
National Provider Identifier
| NPI | 1023301819 |
|---|---|
| Provider Name | Satish Kumar Reddy Gaddam |
| First Address | Frisco, TX 75035-4914 |
| Second Address | Fort Smith, AR 72901-5128 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2011 |
| Last Update Date | 23/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.