Provider Demographics
NPI:1386731297
Name:REDDY, VENKATA R (MD)
Entity type:Individual
Prefix:DR
First Name:VENKATA
Middle Name:R
Last Name:REDDY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1481 W 10TH ST
Mailing Address - Street 2:127
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2803
Mailing Address - Country:US
Mailing Address - Phone:317-554-0227
Mailing Address - Fax:317-554-0215
Practice Address - Street 1:1481 W 10TH ST
Practice Address - Street 2:127
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2803
Practice Address - Country:US
Practice Address - Phone:317-554-0227
Practice Address - Fax:317-554-0215
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IN01026166A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology