SHASHIDHAR REDDY MD NPI 1942200803

NPI Information

  • NPI: 1942200803
  • Provider Name: SHASHIDHAR REDDY, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 COLUMBIA ST
    DRA IMAGING, P.C.
    POUGHKEEPSIE, NY
    ZIP 12601
  • Phone: (845) 454-4700

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NPI Details

Shashidhar Reddy, MD is a diagnostic radiology radiology in Poughkeepsie, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Shashidhar Reddy, MD NPI is 1942200803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 COLUMBIA ST
DRA IMAGING, P.C.
POUGHKEEPSIE, NY
ZIP 12601-923
Phone: (845) 454-4700
Fax: (845) 454-4982

The NPI 1942200803 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2005 and was last updated on 8/20/2007.

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
12085R0202XRadiologyDiagnostic Radiology128410NEW YORKYes

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
153E822MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
200961028MEDICAIDNEW YORK
3C49866MEDICARE UPINNEW YORK

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: 3/30/2025

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