# MADHAVI G REDDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205041969
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2008-00704 | NC | Yes |
| 207Q00000X | Family Medicine Physician | MT184979 | PA | — |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 11/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5909216 | — | NC |
| 05 | — | Q04008 | — | SC |