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Individual

MR. HITESH RAMESH REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
305 W JACKSON ST STE 206, CARBONDALE, IL 62901-1474
(618) 457-3006
(618) 457-3007
Mailing address
HOWARD UNIVERSITY HOSPITAL, 2041 GEORGIA AVENUE, NW, WASHINGTON, DC 20060

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036173993
IL
2086S0102X
Surgical Critical Care Physician
036173993
IL
2086S0127X
Trauma Surgery Physician
Primary
036173993
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/17/2019
Last updated
10/01/2025
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