Reddy, Jyothi Ahalya

Reddy, Jyothi Ahalya is an individual health care provider with primary practice located at 9670 Magnolia Ave Ste 203 , Riverside CA 92503-3684. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Reddy, Jyothi Ahalya can be contacted via phone (951) 354-3976.

Contact Information

Primary practice address
9670 Magnolia Ave Ste 203 Riverside CA 92503-3684
Phone: (951) 354-3976
Fax: (951) 354-2924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD00034669 Washington
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036093840 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01045025A Indiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A44374 California

Profile Details

NPI number 1033221007
LBN Legal business name Reddy, Jyothi Ahalya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 18th, 2020 - about 4 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 1033221007 NPPES
Illinois MEDICAID 036093840

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