Reddy, Madhavi G

Reddy, Madhavi G is an individual health care provider with primary practice located at 613 E Roosevelt Blvd , Monroe NC 28112-5124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reddy, Madhavi G can be contacted via phone (704) 283-8193.

Contact Information

Primary practice address
613 E Roosevelt Blvd Monroe NC 28112-5124
Fax: (704) 283-7252
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT184979 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2008-00704 North Carolina

Profile Details

NPI number 1205041969
LBN Legal business name Reddy, Madhavi G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Nov 22nd, 2016 - about 9 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 1205041969 NPPES
North Carolina MEDICAID 5909216
North Carolina MEDICAID Q04008

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