Reddy, Dheeraj

Reddy, Dheeraj is an individual health care provider with primary practice located at 1055 N Mayfair Rd , Wauwatosa WI 53226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Reddy, Dheeraj can be contacted via phone (414) 479-2300.

Contact Information

Primary practice address
1055 N Mayfair Rd Wauwatosa WI 53226
Phone: (414) 479-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 69635-20 Wisconsin
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X T5443 Texas

Profile Details

NPI number 1871804757
LBN Legal business name Reddy, Dheeraj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2010
Last updated Dec 3rd, 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 1871804757 NPPES
Wisconsin MEDICAID 100078539

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