Provider Demographics
NPI:1598031866
Name:REDDY, SATHAVARAM VENUDHAR (MD)
Entity type:Individual
Prefix:DR
First Name:SATHAVARAM
Middle Name:VENUDHAR
Last Name:REDDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MARIGOLD PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-1958
Mailing Address - Country:US
Mailing Address - Phone:850-294-6809
Mailing Address - Fax:
Practice Address - Street 1:1228 SW 16TH AVE APT A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-8481
Practice Address - Country:US
Practice Address - Phone:850-294-6809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-01271208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist