Reddy, Indira Bhimavarapu

Reddy, Indira Bhimavarapu is an individual health care provider with primary practice located at 730 Valley St , Dayton OH 45404-1958. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Reddy, Indira Bhimavarapu can be contacted via phone (937) 641-5355.

Contact Information

Primary practice address
730 Valley St Dayton OH 45404-1958
Fax: (937) 641-5370
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-037731R Ohio

Profile Details

NPI number 1508886789
LBN Legal business name Reddy, Indira Bhimavarapu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1508886789 NPPES
Ohio Other 35-037731R OHIO LICENSE
Ohio MEDICAID 0401694 OHIO LICENSE

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