Individual
DR. CHANDRA GAVVA REDDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3702 S 4TH ST, TERRE HAUTE, IN 47802-5507
(812) 234-0098
(812) 234-3873
Mailing address
3702 S 4TH ST, TERRE HAUTE, IN 47802-5507
(812) 234-0098
(812) 234-3873
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01041138A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089362
ANTHEM
IN
01
—
01041138B
CONTROLLED SUBSTANCE
IN
Enumeration date
06/01/2006
Last updated
03/07/2023
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