Individual
DR. INDIRA BHIMAVARAPU REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
730 VALLEY ST, DAYTON, OH 45404-1958
(937) 641-5355
(937) 641-5370
Mailing address
7315 COPPERSIDE DR, DAYTON, OH 45415-1261
(937) 836-5425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-037731R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0401694
—
OH
01
—
35-037731R
OHIO LICENSE
OH
Enumeration date
07/20/2006
Last updated
07/08/2007
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