| Sparsha S Reddy Md Pllc | |
|
143 Newbury St Ste 4 Boston MA 02116-2925 | |
| (617) 404-9735 | |
| Not Available |
| Full Name | Sparsha S Reddy Md Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 143 Newbury St Ste 4, Boston, Massachusetts |
| Authorized Official Name and Position | Sparsha Reddy (BUSINESS OWNER) |
| Authorized Official Contact | 6174049735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparsha S Reddy Md Pllc 143 Newbury St Ste 4 Boston MA 02116-2925 Ph: (617) 404-9735 | Sparsha S Reddy Md Pllc 143 Newbury St Ste 4 Boston MA 02116-2925 Ph: (617) 404-9735 |
| NPI Number | 1114561776 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 01/21/2022 |
| Certification Date | 08/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114561776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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