Jinna, Rajender Reddy
Jinna, Rajender Reddy is an individual health care provider with primary practice located at 682 Union Ave Long Island Fqhc, Inc., Westbury NY 11590-3552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jinna, Rajender Reddy can be contacted via phone (516) 571-9535.Contact Information
Primary practice address
682 Union Ave Long Island Fqhc, Inc.
Westbury NY 11590-3552
Phone: (516) 571-9535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 186081 | New York |
Profile Details
| NPI number | 1700847142 |
|---|---|
| LBN Legal business name | Jinna, Rajender Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jan 24th, 2014 - about 11 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 | 1700847142 | NPPES |
| New York | MEDICAID | 01340096 |
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