Individual
JAYANTI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6308 8TH AVE, KENOSHA, WI 53143-5031
(414) 266-6229
(414) 266-7638
Mailing address
PO BOX 88339, MILWAUKEE, WI 53288-0001
(414) 266-6229
(414) 266-7638
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
49923
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34488900
—
WI
Enumeration date
12/01/2006
Last updated
03/07/2023
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