Provider Demographics
NPI:1457148660
Name:AREDDY, VIVEKANANDA REDDY (MD,)
Entity type:Individual
Prefix:MR
First Name:VIVEKANANDA
Middle Name:REDDY
Last Name:AREDDY
Suffix:
Gender:
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19550 E 39TH ST, STE 335
Mailing Address - Street 2:HCA HEALTHCARE, MIDAMERICA DIVISION, CENTERPOINT-CAMPUS
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057
Mailing Address - Country:US
Mailing Address - Phone:913-396-3807
Mailing Address - Fax:
Practice Address - Street 1:19550 E 39TH ST, STE 335
Practice Address - Street 2:HCA HEALTHCARE, MIDAMERICA DIVISION, CENTERPOINT-CAMPUS
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057
Practice Address - Country:US
Practice Address - Phone:913-396-3807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program