Individual
REETHA BAKTHULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4802 10TH AVE, MAIMONIDES MED CTR, DEPT OF RADIOLOGY, BROOKLYN, NY 11219-2916
(718) 283-6158
Mailing address
4802 10TH AVE, MAIMONIDES MED CTR; DEPT OF RADIOLOGY, BROOKLYN, NY 11219-2916
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
249939
NY
2085R0202X
Diagnostic Radiology Physician
83323
CT
Other
Enumeration date
11/06/2009
Last updated
11/13/2025
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