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MR. PRADEEP GOPALA REDDY MD
NPI 1649384892
Pediatrics in Marion, IL

Active since August 17, 2006
3412 OFFICE PARK DRIVE, MARION, IL 62959(618) 993-0404(618) 993-1717 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2021, Dec 11, 2020 (2 updates tracked since 2020).

About Mr. Pradeep Gopala Reddy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PRADEEP GOPALA REDDY MD (NPI 1649384892) is an individual pediatrics provider in Marion, Illinois, licensed in Illinois (036110081) and active in the NPI registry since August 2006. He maintains a secondary practice location in Carbondale.

NPPES Registry Identity

NPI1649384892
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. PRADEEP GOPALA REDDYCredential: MD
Location Address3412 OFFICE PARK DRIVEMarion, IL 62959-1998
Mailing Address3412 Office Park DriveMarion, IL 62959-1998 · (618) 993-0404 · Fax (618) 993-1717
Phone(618) 993-0404
Fax(618) 993-1717
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJune 8, 20212 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1649384892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036110081
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 036110081 (IL)
3412 OFFICE PARK DRIVE, Marion, IL 62959
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Secondary Practice Location 1

Location 1405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721 · Fax (618) 529-0549

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLINE MEKEM MBEUMO M.D.
Pediatrics
3412 OFFICE PARK DRIVE
MARION, IL 62959
Williamson County (618) 993-0404
PEDIATRIC GROUP LLC
Clinic/Center (Rural Health)
3412 OFFICE PARK DRIVE
MARION, IL 62959
Williamson County (618) 993-0404
MR. JEREMY PAUL GERWE M.D.
Pediatrics
3412 OFFICE PARK DRIVE
MARION, IL 62959
Williamson County (618) 993-0404
KATHY A HERREN PA-C
Physician Assistant
3412 OFFICE PARK DRIVE
MARION, IL 62959
Williamson County (618) 993-0404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pradeep Reddy's NPI number?

The NPI number for Pradeep Reddy is 1649384892. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Pradeep Reddy located?

Pradeep Reddy practices at 3412 Office Park Drive, Marion, IL 62959. The listed phone number is (618) 993-0404.

What is Pradeep Reddy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Pradeep Reddy was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.