Individual
DR. VIJAY REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
4802 E JOHNSON AVE, JONESBORO, AR 72405-8413
(870) 936-8000
(870) 934-3626
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3626
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35090869
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235886001
—
AR
Enumeration date
05/03/2006
Last updated
03/16/2021
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