Individual
DR. DEEPA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-5318
(919) 350-7093
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036110551
IL
207RG0100X
Gastroenterology Physician
Primary
2013-01782
NC
207RG0100X
Gastroenterology Physician
TRN15204
FL
208M00000X
Hospitalist Physician
4301091217
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110551
—
IL
Enumeration date
06/06/2006
Last updated
10/24/2022
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