Individual
RAVI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 257-3365
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11183
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50572902
—
HI
01
—
A232809
HMSA
HI
Enumeration date
01/19/2006
Last updated
11/04/2022
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