Provider Demographics
NPI:1699946848
Name:REDDY, ANITHA (MD)
Entity type:Individual
Prefix:DR
First Name:ANITHA
Middle Name:
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 1:13131 LINEBAUGH AVENUE
Mailing Address - Street 2:102
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-2630
Mailing Address - Country:US
Mailing Address - Phone:813-855-5600
Mailing Address - Fax:
Practice Address - Street 1:13131 W LINEBAUGH AVE
Practice Address - Street 2:102
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-4499
Practice Address - Country:US
Practice Address - Phone:813-855-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine