Provider Demographics
NPI:1962145060
Name:VALASAREDDI, SAUMYA (DO)
Entity type:Individual
Prefix:
First Name:SAUMYA
Middle Name:
Last Name:VALASAREDDI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 MAXWELL LN
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-6823
Mailing Address - Country:US
Mailing Address - Phone:516-359-2665
Mailing Address - Fax:
Practice Address - Street 1:1025 MAXWELL LN
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-6823
Practice Address - Country:US
Practice Address - Phone:516-359-2665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-16
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335577207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine