Akhila Reddy Radhareddy
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Plantation, FL
NPI 1245031699 · NPPES record last updated Mar 25, 2025
Key facts
- NPI
- 1245031699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 8201 W Broward Blvd
Plantation, FL 33324-2701 - Phone
- (954) 593-6437
- NPI assigned
- Mar 21, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250617000724 | FL | Order and Referring Only - Internal Medicine |
9537670500 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- akhilareddy.radhareddy@hca4.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
8201 W Broward Blvd
Plantation, FL 33324-2701
Mailing address
8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 593-6437
Other providers in Plantation, FL
- Shelley Quittner
- Kaveh Rabeti
- Sharon Rabinovitz
- Emily Elizabeth Rade
- Padmapriya Radhakrishnan
- Radiology and Nuclear Medicine Services LLC
- Radiology Diagnostic Medical Imaging LLC
- Radiology Physician Solutions of Florida, LLC
- Radiology Physician Solutions of West Florida, LLC
- Radius Tbi of South Florida
All providers in Plantation, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.