Organization
REDDY MEDICAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA REDDY (PRESIDENT)
(815) 756-1521
Entity
Organization
Contact information
Practice address
2911 SYCAMORE RD, DEKALB, IL 60115-9205
(815) 756-1521
Mailing address
PO BOX 2184, INDIANAPOLIS, IN 46206-2184
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922250
BCBS IL
IL
01
—
32913278
CHAMPUS
—
01
—
C12173
RAILROAD MEDICARE
—
Enumeration date
09/15/2006
Last updated
03/23/2010
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