Basic Information
| Provider Information | |||||||||
| NPI: | 1609370048 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MEREDDY | ||||||||
| FirstName: | GREESHMA | ||||||||
| MiddleName: | REDDY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4022 BATTLEGROUND AVE APT 2A | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274109210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8034473389 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2720 SUNSET BLVD | ||||||||
| Address2: | |||||||||
| City: | WEST COLUMBIA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 291694810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8039367372 | ||||||||
| FaxNumber: | 8039364102 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2018 | ||||||||
| LastUpdateDate: | 09/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | S9185 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 86318 | SC | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.