Individual
DR. KOUSHIK RAVI REDDY
Active
Individual
DR. KOUSHIK RAVI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
226094-1
NY
207R00000X
Internal Medicine Physician
ME 97970
FL
207RC0000X
Cardiovascular Disease Physician
226094-1
NY
207RC0000X
Cardiovascular Disease Physician
Primary
ME 97970
FL
207RI0011X
Interventional Cardiology Physician
226094-1
NY
207RI0011X
Interventional Cardiology Physician
ME 97970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16015
BCBS
FL
05
—
278304500
—
FL
Enumeration date
03/30/2007
Last updated
12/02/2022
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