Organization
JAIVEER T. REDDY, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIVEER T. REDDY M.D. (OWNER)
(814) 849-8858
Entity
Organization
Contact information
Practice address
82 BARNETT ST, BROOKVILLE, PA 15825-1262
(814) 849-8858
(814) 849-3471
Mailing address
82 BARNETT ST, BROOKVILLE, PA 15825-1262
(814) 849-8858
(814) 849-3471
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089212
THREE RIVERS
PA
01
—
0004255427
AETNA
PA
05
—
0006479680001
—
PA
01
—
000647986
ION
PA
01
—
1035599
GATEWAY
PA
01
—
104041
HIGHMARK
PA
01
—
1043403421
TRAVELERS MEDICARE
PA
01
—
217070
UPMC
PA
01
—
89212
UNISON
PA
Enumeration date
08/20/2007
Last updated
06/16/2008
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