GEETHA M REDDY MD F A C C – NPI #1295802429
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

GEETHA M REDDY MD F A C C is a provider located in LIBERTYVILLE, IL. NPPES has assigned the NPI number 1295802429 to GEETHA M REDDY MD F A C C on November 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GEETHA M REDDY MD F A C C” is a dba name, the actual legal business name for this organization is GEETHA M REDDY S C. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 18 years ago on Apr 24, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GEETHA M REDDY MD F A C C below.

NPI Profile for
GEETHA M REDDY S C

NPI Number
1295802429
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GEETHA M REDDY S C
Doing Business As (dba): GEETHA M REDDY MD F A C C
Primary location
1880 W WINCHESTER RD
SUITE 207
LIBERTYVILLE, IL 60048-5341
Phone: (847) 816-3703 Fax: (847) 816-4534
Mailing address
PO BOX 1127
LIBERTYVILLE, IL 60048-4127
Phone: (847) 816-3703 Fax: (847) 816-4534
Organization Subpart
No
Authorized Official
GEETHA REDDY
PROVIDER
Phone: (847) 816-3703
Updated
Identifiers

Identifiers for GEETHA M REDDY MD F A C C

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA HMOIL2706821
OTHERAETNA NONHMOIL7394083
OTHERBCBSIL0004928185
OTHERCIGNAIL0834054009
OTHERHEALTH PARTNERSIL113855
OTHERRAILROAD MEDICAREGA060067327
MEDICAIDIL036100405
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
IL 036-100405

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.