Dr. Nageswara Rao Kommareddi, M.D.,
Psychiatry & Neurology, Psychiatry in Canton, OH. Individual provider (NPI-1).
NPI number1164527768
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164527768
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nageswara Rao Kommareddi
- Credential
- M.D.,
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | ME31148 | FL | Yes |
Practice location
733 Market Ave SCanton, OH 44702-2165
Phone 330-486-4600 · Fax 330-489-4567
Mailing address
733 Market Ave SCanton, OH 44702-2165
Phone 330-486-4600 · Fax 330-489-4567
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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