Individual
DR. BHAGYALAKSHMI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
915 RIVER RD, MIDDLETOWN, CT 06457
(203) 889-0445
(203) 574-9006
Mailing address
141 E MAIN ST FL 4, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
042611
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008037443
—
CT
01
—
060669107
UBH-UNITED HEALTH CARE WELLMORE GRP/FACILITY
CT
01
—
10450310 WATERBURY
BEACON HEALTH STRATEGIES
CT
01
—
11726136
CAQH
CT
01
—
3495823 WELLMORE
CIGNA BEHAVIORAL HEALTH
CT
01
—
390269 INACTIVE
MHN TRICARE NORTH
CT
01
—
390269 WELLMORE
MHN MANAGED HEALTH NETWORK
CT
01
—
9413737 WELLMORE
AETNA BEHAVIORAL HEALTH
CT
01
—
APBN-56223
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY-PSYCHIATRY
CT
01
—
APBN6957
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY -CHILD AND ADOLESCENT PSYCHIATRY
CT
01
—
CSP.0042193
CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
CT
Enumeration date
02/15/2007
Last updated
03/07/2023
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