Dr. Radha Iduru Reddy, DMD
Dentist, General Practice in New Bedford, MA. Individual provider (NPI-1).
NPI number1407965254
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1407965254
- Entity type
- Individual (NPI-1)
- Name
- Dr. Radha Iduru Reddy
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- 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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 19769 | MA | Yes |
Practice location
84 Spring StNew Bedford, MA 02740-5935
Phone 508-993-9947 · Fax 508-993-1058
Mailing address
84 Spring StNew Bedford, MA 02740-5935
Phone 508-993-9947 · Fax 508-993-1058
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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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