Reddy, Vijay
Reddy, Vijay is an individual health care provider with primary practice located at 4802 E Johnson Ave , Jonesboro AR 72405-8413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Reddy, Vijay can be contacted via phone (870) 936-8000.Contact Information
Primary practice address
4802 E Johnson Ave
Jonesboro AR 72405-8413
Phone: (870) 936-8000
Fax: (870) 934-3626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35090869 | Ohio |
Profile Details
| NPI number | 1164480802 |
|---|---|
| LBN Legal business name | Reddy, Vijay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Mar 16th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164480802 | NPPES |
| Arkansas | MEDICAID | 235886001 |
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