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Individual

DR. VIJAYA D. REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1329 LUSITANA ST, SUITE 701, HONOLULU, HI 96813-2429
(808) 545-5515
(808) 523-5605
Mailing address
1319 PUNAHOU ST, SUITE 1160, HONOLULU, HI 96826-1001
(808) 942-7707
(808) 955-3301

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
2016
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
034484-01
HI
05
034484-02
HI
Enumeration date
11/29/2006
Last updated
07/09/2007
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