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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063494086 NPPES
Ohio MEDICAID 0941600

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