Individual
MAHATI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2602 BUFORD RD, NORTH CHESTERFIELD, VA 23235-3422
(804) 272-8806
(804) 272-2909
Mailing address
2602 BUFORD RD, NORTH CHESTERFIELD, VA 23235-3422
(804) 272-8806
(804) 272-2909
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
0101260160
VA
390200000X
Student in an Organized Health Care Education/Training Program
57-017926
OH
Other
Enumeration date
09/02/2010
Last updated
07/07/2016
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