Provider Demographics
NPI:1174192207
Name:GADDAM, ANUSHA REDDY (MD)
Entity type:Individual
Prefix:
First Name:ANUSHA
Middle Name:REDDY
Last Name:GADDAM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2919 BEECHTREE DR
Mailing Address - Street 2:SUITE 1120
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-6934
Mailing Address - Country:US
Mailing Address - Phone:919-897-2256
Mailing Address - Fax:919-897-2261
Practice Address - Street 1:2919 BEECHTREE DR
Practice Address - Street 2:SUITE 1120
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-6934
Practice Address - Country:US
Practice Address - Phone:919-897-2256
Practice Address - Fax:919-897-2261
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-22
Last Update Date:2025-03-13
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Provider Licenses
StateLicense IDTaxonomies
NC2024-01025207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine