Kethireddy, Ravi Reddy

Kethireddy, Ravi Reddy is an individual health care provider with primary practice located at 5398 Park St N , St Petersburg FL 33709-1041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Kethireddy, Ravi Reddy can be contacted via phone (757) 544-1441.

Contact Information

Primary practice address
5398 Park St N St Petersburg FL 33709-1041
Phone: (757) 544-1441
Fax: (727) 545-8263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME57029 Florida

Profile Details

NPI number 1144213422
LBN Legal business name Kethireddy, Ravi Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Apr 12th, 2017 - 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 1144213422 NPPES
Florida MEDICAID 378242500
Florida Other 27185

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