Individual
RAVICHANDRA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WEBSTER AVE, ATRIUM AT ST FRANCIS #301, POUGHKEEPSIE, NY 12601-1361
(845) 483-5865
(845) 483-5787
Mailing address
1 WEBSTER AVE STE 301, POUGHKEEPSIE, NY 12601-1364
(845) 790-6165
(845) 345-9966
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
203889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01704030
—
NY
Enumeration date
11/07/2005
Last updated
09/18/2023
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