Provider Demographics
NPI:1215679774
Name:REDDY, SIVANI BELLAM (MD)
Entity type:Individual
Prefix:
First Name:SIVANI
Middle Name:BELLAM
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 20TH ST S STE 858
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-2028
Mailing Address - Country:US
Mailing Address - Phone:205-934-5188
Mailing Address - Fax:205-934-5766
Practice Address - Street 1:510 20TH ST S STE 858
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-2028
Practice Address - Country:US
Practice Address - Phone:205-934-5188
Practice Address - Fax:205-934-5766
Is Sole Proprietor?:No
Enumeration Date:2022-04-13
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program