Reddy, Chetana M

Reddy, Chetana M is an individual health care provider with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Reddy, Chetana M can be contacted via phone (314) 577-5380.

Contact Information

Primary practice address
1465 S Grand Blvd Saint Louis MO 63104-1003
Phone: (314) 577-5380
Fax: (314) 268-4141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 2006008763 Missouri
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 066403 Georgia

Profile Details

NPI number 1093738916
LBN Legal business name Reddy, Chetana M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 9th, 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 1093738916 NPPES
Missouri MEDICAID 203737200
Missouri MEDICAID 250358060
Missouri MEDICAID 003114510C

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