Provider Demographics
NPI:1427051168
Name:POLAMREDDY, RAMALINGAREDDY (MD)
Entity type:Individual
Prefix:
First Name:RAMALINGAREDDY
Middle Name:
Last Name:POLAMREDDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAMALINGA
Other - Middle Name:
Other - Last Name:REDDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2222 CHERRY ST
Mailing Address - Street 2:STE 2900
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2673
Mailing Address - Country:US
Mailing Address - Phone:419-251-6430
Mailing Address - Fax:419-251-6433
Practice Address - Street 1:2222 CHERRY ST
Practice Address - Street 2:STE 2900
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2673
Practice Address - Country:US
Practice Address - Phone:419-251-6430
Practice Address - Fax:419-251-6433
Is Sole Proprietor?:No
Enumeration Date:2005-05-25
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350417462080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0539448Medicaid