Reddy, Renuka

Reddy, Renuka is an individual health care provider with primary practice located at 1908 N Main St , Hazard KY 41701-2505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reddy, Renuka can be contacted via phone (606) 439-2662.

Contact Information

Primary practice address
1908 N Main St Hazard KY 41701-2505
Fax: (606) 439-0575
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37785 Kentucky

Profile Details

NPI number 1992817522
LBN Legal business name Reddy, Renuka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1992817522 NPPES
Kentucky MEDICAID 64073984

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