Individual
DR. V ARAVIND REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 S 5TH ST STE B, WATSEKA, IL 60970-1863
(815) 432-2225
(815) 432-3623
Mailing address
625 S 5TH ST STE B, WATSEKA, IL 60970-1863
(815) 432-2225
(815) 432-3623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036075574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003800069
BLUE CROSS BLUE SHIELD
IL
05
—
036075574
—
IL
01
—
060063395
RAILROAD MEDICARE
—
01
—
14D0981553
CLIA
—
05
—
200098830A
—
IN
01
—
775860
MEDICARE PROVIDER
IL
Enumeration date
08/29/2007
Last updated
02/01/2008
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