Reddy, Deepa

Reddy, Deepa is an sole proprietor health care provider with primary practice located at 3024 New Bern Ave , Raleigh NC 27610-1247. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Reddy, Deepa can be contacted via phone (919) 350-5318.

Contact Information

Primary practice address
3024 New Bern Ave Raleigh NC 27610-1247
Phone: (919) 350-5318
Fax: (919) 350-7093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036110551 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X TRN15204 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301091217 Michigan
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2013-01782 North Carolina

Profile Details

NPI number 1316986086
LBN Legal business name Reddy, Deepa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Oct 24th, 2022 - 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 1316986086 NPPES
Illinois MEDICAID 036110551

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