Reddy, Chakravarthy B

Reddy, Chakravarthy B is an individual health care provider with primary practice located at 26 N 1900 E 701, Wintrobe Building, Salt Lake City UT 84132-0002. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Reddy, Chakravarthy B can be contacted via phone (801) 581-7806.

Contact Information

Primary practice address
26 N 1900 E 701, Wintrobe Building Salt Lake City UT 84132-0002
Fax: (801) 585-3355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52163851205 Utah
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 5216385-1205 Utah
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 5216385-1205 Utah
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 5216385-1205 Utah

Profile Details

NPI number 1508962176
LBN Legal business name Reddy, Chakravarthy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Nov 12th, 2021 - about 3 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 1508962176 NPPES
Utah MEDICAID 1508962176

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