Reddy, Jayanti
Reddy, Jayanti is an individual health care provider with primary practice located at 6308 8Th Ave , Kenosha WI 53143-5031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Reddy, Jayanti can be contacted via phone (414) 266-6229.Contact Information
Primary practice address
6308 8Th Ave
Kenosha WI 53143-5031
Phone: (414) 266-6229
Fax: (414) 266-7638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 49923 | Wisconsin |
Profile Details
| NPI number | 1609944362 |
|---|---|
| LBN Legal business name | Reddy, Jayanti |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609944362 | NPPES |
| Wisconsin | MEDICAID | 34488900 |
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