Reddy, Deepti

Reddy, Deepti is an individual health care provider with primary practice located at 30 Prospect Ave , Hackensack NJ 07601-1915. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Reddy, Deepti can be contacted via phone (551) 996-4466.

Contact Information

Primary practice address
30 Prospect Ave Hackensack NJ 07601-1915
Phone: (551) 996-4466
Fax: (551) 996-0969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD.206424 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25MA11455800 New Jersey

Profile Details

NPI number 1609181452
LBN Legal business name Reddy, Deepti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2010
Last updated Sep 28th, 2022 - about 2 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 1609181452 NPPES
Mississippi MEDICAID 05501847
Mississippi MEDICAID 2341316

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