Reddivari, Ajay
Reddivari, Ajay is an individual health care provider with primary practice located at 1380 E Stroop Rd , Kettering OH 45429-4926. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Reddivari, Ajay can be contacted via phone (937) 294-4356.Contact Information
Primary practice address
1380 E Stroop Rd
Kettering OH 45429-4926
Phone: (937) 294-4356
Fax: (937) 297-2381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35-06-0503R | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 35060503 | Ohio |
Profile Details
| NPI number | 1063494086 |
|---|---|
| LBN Legal business name | Reddivari, Ajay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jan 4th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063494086 | NPPES |
| Ohio | MEDICAID | 0941600 |
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