Individual
AJAY K REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 325-2250
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-126185
IL
207RC0000X
Cardiovascular Disease Physician
Primary
2089
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100205109
—
WI
Enumeration date
05/04/2007
Last updated
04/25/2024
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