Muddasani V Reddy, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Practice address

129 N 8TH St
East St Louis, IL 62201-2917

Phone

(618) 482-7242

Fax

(314) 810-1399

NPI assigned

Jun 13, 2005

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

State licenses

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922002450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12573 DURBIN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N 8TH ST",
            "city": "EAST ST LOUIS",
            "state": "IL",
            "postal_code": "622012917",
            "telephone_number": "618-482-7242",
            "fax_number": "314-810-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MUDDASANI",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curators of the University of Missouri
• Herman L Ferrell, M.D.
• Bruce Jones, D.O.
• Julie Murphy, MA
• Jose Ramon, M.D.
• Southern Illinois Healthcare Foundation, Inc
• Tiara Monet Stewart
• Lloyd Thompson, M.D.
• Sana Ullah, M.D.

• Neurological Surgery Physician in East St Louis, IL
• Providers in East St Louis, IL by specialty
• Neurological Surgery Physician in Illinois

• 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.