Reddy, Gautam M.
Reddy, Gautam M. is an sole proprietor health care provider with primary practice located at 210 E Sunrise Hwy Ste. 304, Valley Stream NY 11581-1329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Reddy, Gautam M. can be contacted via phone (516) 825-8484.Contact Information
Primary practice address
210 E Sunrise Hwy Ste. 304
Valley Stream NY 11581-1329
Phone: (516) 825-8484
Fax: (516) 825-8491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 200237 | New York |
Profile Details
| NPI number | 1235158585 |
|---|---|
| LBN Legal business name | Reddy, Gautam M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235158585 | NPPES |
| New York | MEDICAID | 01918863 |
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