Reddy, Ravindranath R

Reddy, Ravindranath R is an sole proprietor health care provider with primary practice located at 473 W Army Trail Road #102, Bloomingdale IL 60108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reddy, Ravindranath R can be contacted via phone (630) 529-1000.

Contact Information

Primary practice address
473 W Army Trail Road #102 Bloomingdale IL 60108
Phone: (630) 529-1000
Fax: (630) 529-7497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036051771 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X H0099 Texas

Profile Details

NPI number 1063587319
LBN Legal business name Reddy, Ravindranath R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated May 20th, 2013 - about 13 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 1063587319 NPPES
Illinois MEDICAID 036051771

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