DR. PRASANTHI REDDY MD NPI 1386620870

NPI Information

  • NPI: 1386620870
  • Provider Name: DR. PRASANTHI REDDY, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 4788 HODGES BLVD
    BUILDING B, SUITE 108
    JACKSONVILLE, FL
    ZIP 32224
  • Phone: (904) 223-9100

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NPI Details

DR. Prasanthi Reddy, MD is a pediatrics in Jacksonville, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Prasanthi Reddy, MD NPI is 1386620870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4788 HODGES BLVD
BUILDING B, SUITE 108
JACKSONVILLE, FL
ZIP 32224-222
Phone: (904) 223-9100
Fax: (904) 223-9282

The enumeration date for this NPI number is 12/16/2005 and was last updated on 3/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineME91195FLORIDANo
2208000000XPediatricsME9115FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1273107000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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