Bareddy, Venkata R

Bareddy, Venkata R is an individual health care provider with primary practice located at 2341 Mccallie Ave Suite 402, Chattanooga TN 37404-3239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bareddy, Venkata R can be contacted via phone (423) 698-3309.

Contact Information

Primary practice address
2341 Mccallie Ave Suite 402 Chattanooga TN 37404-3239
Fax: (423) 624-6355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD009448 Tennessee

Profile Details

NPI number 1538134804
LBN Legal business name Bareddy, Venkata R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Sep 17th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538134804 NPPES
Tennessee MEDICAID 3182411
Tennessee Other 4346926
Tennessee Other 3031569

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