Individual
JITHENDER REDDY
Active
Individual
JITHENDER REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
064450
GA
2084P0800X
Psychiatry Physician
26715
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267151
—
SC
Enumeration date
06/28/2006
Last updated
05/27/2014
Update your record
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