Individual
BEENA M REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4660 KENMORE AVENUE, SUITE 100, ALEXANDRIA, VA 22304-1306
(703) 751-5763
(703) 370-8704
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101265850
VA
207L00000X
Anesthesiology Physician
25140
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100172380C
—
KS
01
—
100614
COVENTRY
KS
01
—
101416
BCBS
KS
01
—
11108469
MULTIPLAN
KS
05
—
1609803071
—
VA
01
—
200061
HPK
KS
01
—
3708
PHS
KS
Enumeration date
06/28/2006
Last updated
11/29/2022
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