Individual
DR. VENKATESHA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 VICTORY CT, NEWBURGH, NY 12550-1745
(845) 565-2477
(845) 565-7084
Mailing address
PO BOX 2609, NEWBURGH, NY 12550-0842
(845) 565-2477
(845) 565-7084
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
122096
NY
2084N0400X
Neurology Physician
69758
CT
2084N0400X
Neurology Physician
MD2024-0895
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00493325
—
NY
Enumeration date
01/04/2006
Last updated
12/09/2024
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