Individual
DR. GAUTAM M. REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 E SUNRISE HWY, STE. 304, VALLEY STREAM, NY 11581-1329
(516) 825-8484
(516) 825-8491
Mailing address
210 E SUNRISE HWY, STE. 304, VALLEY STREAM, NY 11581-1329
(516) 825-8484
(516) 825-8491
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
200237
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01918863
—
NY
Enumeration date
07/18/2006
Last updated
07/08/2007
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