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Individual

CHENNA B REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9413 FLATLANDS AVENUE, BROOKLYN, NY 11236
(718) 257-6615
Mailing address
9413 FLATLANDS AVENUE, SUITE 101 WEST, BROOKLYN, NY 11236
(718) 257-6615
(718) 272-3365

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
121755
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00228735
NY
Enumeration date
11/29/2006
Last updated
06/27/2011
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