Individual
CHANDRA S REDDIVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747-1278
(508) 973-3200
(508) 973-3215
Mailing address
200 MILL ROAD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
152438
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177806
—
MA
Enumeration date
03/15/2006
Last updated
10/18/2024
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