Individual
DR. BHARATH REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, MONTEFIORE MEDICAL CENTER, BRONX, NY 10467-2401
(718) 920-9880
(718) 920-9036
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01083405A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/03/2015
Last updated
10/12/2022
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