Individual
DR. MADHURI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 CENTRE STREET, DEPARTMENT OF MEDICINE, ROSLINDALE, MA 02131
(617) 363-8293
(617) 363-8929
Mailing address
1200 CENTRE STREET, DEPARTMENT OF MEDICINE, ROSLINDALE, MA 02131
(617) 363-8293
(617) 363-8929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
228842
MA
207R00000X
Internal Medicine Physician
228842
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
228842
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A4103705
MEDICARE
MA
01
—
I69487
MEDICARE/UPIN
CA
Enumeration date
08/31/2006
Last updated
04/01/2015
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