Individual
DR. VIJAYA LINGA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 4TH ST, SUITE C, MALONE, NY 12953-1340
(518) 481-2801
(518) 481-2689
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 332-3525
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
122167
NY
208800000X
Urology Physician
19957
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201586B
PSC MEDICARE PROVIDER #
NC
01
—
85084
BCNC
NC
05
—
8985084
—
NC
Enumeration date
02/21/2006
Last updated
05/01/2013
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