Doctor Name: | DR. RAJIDI M REDDY |
NPI Number: | 1215089404 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD018563E |
Business Practice Address: | 10 Shady Ln Suite101 Muncy, PA - 177568807 |
Business Phone Number: | 5705464257 |
Business Fax Number: | |
Mailing Address: | Po Box 335, MUNCY |
State: | PA |
Postal Code: | 177560335 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0000X |
License Number: | MD018563E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |