Reddy, Narayana
Reddy, Narayana is an individual health care provider with primary practice located at 228 Ne Jefferson Ave , Peoria IL 61603-3802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Reddy, Narayana can be contacted via phone (309) 671-8000.Contact Information
Primary practice address
228 Ne Jefferson Ave
Peoria IL 61603-3802
Phone: (309) 671-8000
Fax: (309) 671-4695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036088236 | Illinois |
Profile Details
| NPI number | 1306880281 |
|---|---|
| LBN Legal business name | Reddy, Narayana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | May 17th, 2012 - about 14 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 | 1306880281 | NPPES |
| Illinois | Other | 260025472 | RAILROAD MEDICARE |
| Illinois | Other | L34349 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 0360882362 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 0360882361 | RAILROAD MEDICARE |
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