Individual
DR. BHIMAVARAPU KRISHNAMOHAN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ELIZABETH PL, SUITE # 230, DAYTON, OH 45408-1445
(937) 222-2233
(937) 222-9665
Mailing address
1 ELIZABETH PL, SUITE # 230, DAYTON, OH 45408-1445
(937) 222-2233
(937) 222-9665
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35-03-5932-R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0339879
—
OH
01
—
35-03-5932R
OHIO LICENSE
OH
Enumeration date
05/22/2006
Last updated
06/18/2008
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