Organization
D.CHANDRA REDDY, MD. PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDRA MOHAN D REDDY MD (OWNER)
(270) 678-5365
Entity
Organization
Contact information
Practice address
440 E HAPPY VALLEY ST, CAVE CITY, KY 42127
(270) 773-2121
(270) 773-2120
Mailing address
793 STEEPLECHASE RD, GLASGOW, KY 42141-8032
(270) 678-5365
(270) 678-3996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062942
BCBS
KY
05
—
64320872
—
KY
Enumeration date
10/16/2007
Last updated
01/07/2009
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