Doctor Name: | DR. V ARAVIND REDDY |
NPI Number: | 1588858815 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036075574 |
Business Practice Address: | 625 S 5th St Ste B Watseka, IL - 609701863 |
Business Phone Number: | 8154322225 |
Business Fax Number: | 8154323623 |
Mailing Address: | 625 S 5th St Ste B, WATSEKA |
State: | IL |
Postal Code: | 609701863 |
Phone Number: | 8154322225 |
Fax Number: | 8154323623 |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 02/01/2008 |
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. |