| Suresh D. Reddy, Md, Llc | |
|
115 E 89th Ave Merrillville IN 46410-7184 | |
| (219) 756-0960 | |
| (219) 756-0961 |
| Full Name | Suresh D. Reddy, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 115 E 89th Ave, Merrillville, Indiana |
| Authorized Official Name and Position | Suresh D. Reddy (OWNER) |
| Authorized Official Contact | 2197560960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suresh D. Reddy, Md, Llc 115 E 89th Ave Merrillville IN 46410-7184 Ph: (219) 756-0960 | Suresh D. Reddy, Md, Llc 115 E 89th Ave Merrillville IN 46410-7184 Ph: (219) 756-0960 |
| NPI Number | 1952357279 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4284604612 |
|---|---|
| Medicare Enrollment ID | O20040730001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952357279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01038650 (Indiana) | Primary |
| Provider Name | Suresh D Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437117249 PECOS PAC ID: 2961491758 Enrollment ID: I20040507000553 |
| Provider Name | Raymond J Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386602100 PECOS PAC ID: 9335189042 Enrollment ID: I20050511000796 |
| Provider Name | Tonia S Amaloo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598996589 PECOS PAC ID: 9335278928 Enrollment ID: I20100519000708 |
| Provider Name | Bernardo Lucena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356391676 PECOS PAC ID: 4284768573 Enrollment ID: I20100823000915 |
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