Individual
VIJAYA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 SPRINGFIELD PIKE, CINCINNATI, OH 45246-4112
(513) 782-2448
(513) 782-2451
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5501
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35-122192
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200875700
—
IN
Enumeration date
07/20/2007
Last updated
01/26/2018
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