Reddy, Keshavpal G
Reddy, Keshavpal G is an individual health care provider with primary practice located at 603 Dolley Madison Rd Ste 100 , Greensboro NC 27410-4282. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Reddy, Keshavpal G can be contacted via phone (336) 632-3505.Contact Information
Primary practice address
603 Dolley Madison Rd Ste 100
Greensboro NC 27410-4282
Phone: (336) 632-3505
Fax: (336) 632-3503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 38415 | North Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101053228 | Virginia |
Profile Details
| NPI number | 1942269766 |
|---|---|
| LBN Legal business name | Reddy, Keshavpal G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Apr 13th, 2023 - about 3 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 | 1942269766 | NPPES |
| North Carolina | MEDICAID | 8970725 | |
| North Carolina | MEDICAID | 004945221 |
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