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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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