Reddy, Kavitha D

Reddy, Kavitha D is an individual health care provider with primary practice located at 7218 164Th St , Flushing NY 11365-4222. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reddy, Kavitha D can be contacted via phone (718) 969-6640.

Contact Information

Primary practice address
7218 164Th St Flushing NY 11365-4222
Phone: (718) 969-6640
Fax: (718) 969-1050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 202767 New York

Profile Details

NPI number 1811983612
LBN Legal business name Reddy, Kavitha D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Oct 12th, 2011 - about 15 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 1811983612 NPPES
New York MEDICAID 01749540

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