Reddy, Raju C

Reddy, Raju C is an individual health care provider with primary practice located at 4974 Higbee Avenue Ste 209, Canton OH 44718-2562. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Reddy, Raju C can be contacted via phone (330) 493-4553.

Contact Information

Primary practice address
4974 Higbee Avenue Ste 209 Canton OH 44718-2562
Fax: (330) 493-3762
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-043078 Ohio

Profile Details

NPI number 1275577678
LBN Legal business name Reddy, Raju C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 5th, 2012 - about 12 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 1275577678 NPPES
Ohio MEDICAID 7610021

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