Reddy, Nitya

Reddy, Nitya is an individual health care provider with primary practice located at 520 N 12Th St , Richmond VA 23298-5064. She recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Periodontics is her primary health care specialty. Reddy, Nitya can be contacted via phone (804) 828-9356.

Contact Information

Primary practice address
520 N 12Th St Richmond VA 23298-5064
Phone: (804) 828-9356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 0442000368 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1063942241
LBN Legal business name Reddy, Nitya
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2017
Last updated Oct 3rd, 2019 - about 7 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 1063942241 NPPES
Virginia Other 0442000368 TEMPORARY RESIDENT DENTAL LICENSE IN VA

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