Individual
KAVITHA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
75 REMITT DRIVE, LOCKBOX 3274, CHICAGO, IL 60675-3274
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-108796
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108796
—
IL
Enumeration date
07/17/2006
Last updated
04/08/2024
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