Individual
DR. KESHAVPAL G REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
603 DOLLEY MADISON RD STE 100, GREENSBORO, NC 27410-4282
(336) 632-3505
(336) 632-3503
Mailing address
603 DOLLEY MADISON RD STE 100, GREENSBORO, NC 27410-4282
(336) 632-3505
(336) 632-3503
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
38415
NC
2084P0800X
Psychiatry Physician
Primary
0101053228
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945221
—
VA
05
—
8970725
—
NC
Enumeration date
03/21/2006
Last updated
04/13/2023
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