Individual provider · Type 1 NPI
Shruti Reddy Kommareddy, DPM
Foot Surgery Podiatrist · Philadelphia, PA
NPI number
1225463284
Active
Practice location
3900 Woodland Ave
Philadelphia, PA 19104-4551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006523 (PA) |
| Foot Surgery Podiatrist Primary | 213ES0131X | SC006523 (PA) |
Foot Surgery Podiatrist: Definition to come...
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About NPI 1225463284
Shruti Reddy Kommareddy, DPM's National Provider Identifier is 1225463284, issued on Sep 10, 2013. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 3, 2023.