Individual
DR. JAIVEER T REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
82 BARNETT ST, BROOKVILLE, PA 15825-1262
(814) 849-8858
(814) 849-3741
Mailing address
82 BARNETT ST, BROOKVILLE, PA 15825-1262
(814) 849-8858
(814) 849-3741
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD015261E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006479860001
—
PA
01
—
1043403421
TRAVELERS MEDICARE
PA
Enumeration date
11/25/2005
Last updated
06/16/2008
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