Reddy, Ravi

Reddy, Ravi is an individual health care provider with primary practice located at 480 Central Ave , Pearl Harbor HI 96860-4908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reddy, Ravi can be contacted via phone (808) 257-3365.

Contact Information

Primary practice address
480 Central Ave Pearl Harbor HI 96860-4908
Phone: (808) 257-3365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD11183 Hawaii

Profile Details

NPI number 1558341156
LBN Legal business name Reddy, Ravi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 4th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558341156 NPPES
Hawaii Other A232809 HMSA
Hawaii MEDICAID 50572902 HMSA

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