Provider Demographics
NPI:1144526575
Name:MUSUKU, SRIDHAR REDDY (MD FRCA)
Entity type:Individual
Prefix:DR
First Name:SRIDHAR
Middle Name:REDDY
Last Name:MUSUKU
Suffix:
Gender:M
Credentials:MD FRCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201,202
Mailing Address - Street 2:
Mailing Address - City:HYDERABAD
Mailing Address - State:ANDHRA PRADESH
Mailing Address - Zip Code:500029
Mailing Address - Country:IN
Mailing Address - Phone:0091402-322-4725
Mailing Address - Fax:
Practice Address - Street 1:506 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3609
Practice Address - Country:US
Practice Address - Phone:718-780-3279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program