Reddy, Matta Temujin
Reddy, Matta Temujin is an individual health care provider with primary practice located at 108 Heddon Dr , Lexington SC 29072-2457. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Reddy, Matta Temujin can be contacted via phone (484) 560-3506.Contact Information
Primary practice address
108 Heddon Dr
Lexington SC 29072-2457
Phone: (484) 560-3506
Fax: (878) 201-9145
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 88503 | South Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 88503 | South Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD88503 | South Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 88503 | Rhode Island |
Profile Details
NPI number | 1992264121 |
---|---|
LBN Legal business name | Reddy, Matta Temujin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 18th, 2019 |
Last updated | Mar 6th, 2024 - about last year |
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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