Individual
DEEPTI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4466
(551) 996-0969
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4466
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
25MA11455800
NJ
208M00000X
Hospitalist Physician
MD.206424
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05501847
—
MS
05
—
2341316
—
LA
Enumeration date
08/17/2010
Last updated
09/28/2022
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