Organization Name: | V. ARAVIND REDDY M.D.P.C. |
NPI Number: | 1043306186 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | V. ARAVIND REDDY (PRESIDENT) |
Mailing Address: | 625 S 5th St Suite B Watseka |
State: | IL US |
Postal Code: | 609701835 |
Phone Number: | 8154322225 |
Fax Number: | 8154323623 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 08/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036075574 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |