Organization
MADHAVI REDDY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADHAVI REDDY MD (PRESIDENT)
(718) 250-8867
Entity
Organization
Contact information
Practice address
240 WILLOUGHBY ST, SUITE 11A, BROOKLYN, NY 11201-5465
(718) 250-8867
Mailing address
45 TENNIS PL, FOREST HILLS, NY 11375-5161
(718) 250-8867
(646) 292-5135
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02457858
—
NY
Enumeration date
10/25/2007
Last updated
10/25/2007
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