Individual
JYOTHI AHALYA REDDY
Active
Individual
JYOTHI AHALYA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01045025A
IN
207RG0100X
Gastroenterology Physician
036093840
IL
207RG0100X
Gastroenterology Physician
Primary
A44374
CA
207RG0100X
Gastroenterology Physician
MD00034669
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093840
—
IL
Enumeration date
08/31/2006
Last updated
10/18/2020
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