Reddy, Venu

Reddy, Venu is an individual health care provider with primary practice located at 927 Broadway St Suite 204, Quincy IL 62301-2719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Reddy, Venu can be contacted via phone (217) 224-6423.

Contact Information

Primary practice address
927 Broadway St Suite 204 Quincy IL 62301-2719
Fax: (217) 223-9045
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036-075770 Illinois

Profile Details

NPI number 1164429957
LBN Legal business name Reddy, Venu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Nov 14th, 2013 - about 11 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 1164429957 NPPES
Illinois Other HEALTH ALLIANCE 113113
Illinois MEDICAID 036075770 113113

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