Individual
DR. M. NIRANJAN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 W MAIN ST STE 105, WILMINGTON, OH 45177-2171
(937) 283-9888
Mailing address
540 LINCOLN PARK BLVD, SUITE 200, DAYTON, OH 45429-6401
(937) 298-8058
(937) 298-5638
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35071418R
OH
207RI0011X
Interventional Cardiology Physician
Primary
35071418
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110227392
MEDICARE RR
—
05
—
2270957
—
OH
Enumeration date
04/25/2006
Last updated
01/04/2021
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