Individual
CHAITANYA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
111 BREWSTER STREET, FCC TEAM A, PAWTUCKET, RI 02860
(401) 729-3469
(401) 729-2541
Mailing address
111 BREWSTER STREET, FCC TEAM A, PAWTUCKET, RI 02860
(401) 729-3469
(401) 729-2541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LP00123
RI
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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