Sudarsana Rachamallu Reddy, M.D

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME43134 Issued in FL

Practice address

10,000 Bay Pines- Neurology 127
VA Medical Center
Bay Pines, FL 33744

Phone

(727) 398-6661

Fax

(727) 398-9554

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346350535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 CRESCENT OAKS BLVD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887610",
            "telephone_number": "727-692-2310",
            "fax_number": "727-937-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10,000 BAY PINES- NEUROLOGY 127",
            "address_2": "VA MEDICAL CENTER",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661",
            "fax_number": "727-398-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SUDARSANA",
        "middle_name": "RACHAMALLU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME43134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Dana Quinones, L.M.S.W
• Angela Patricia Quintero, MS
• Trudy Karishma Ramjattan, M.D.
• Lisa M Ramos
• Clara-Jessica Zablan Rances, PHARMD
• Gregory Reed
• Theodore Wilson Reed III, M.D.
• L. Harrison Reeder, LCSW
• Sandra Reese, ARNP
• Arif Ur Rehman, M.D.

• Neurology Physician in Bay Pines, FL
• Providers in Bay Pines, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.