Reddy, Vijitha
Reddy, Vijitha is an individual health care provider with primary practice located at 1110 W Fairbanks Ave , Winter Park FL 32789-4721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Reddy, Vijitha can be contacted via phone (407) 629-7474.Contact Information
Primary practice address
1110 W Fairbanks Ave
Winter Park FL 32789-4721
Phone: (407) 629-7474
Fax: (407) 629-7475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME80136 | Florida |
Profile Details
| NPI number | 1245381896 |
|---|---|
| LBN Legal business name | Reddy, Vijitha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jan 19th, 2010 - about 14 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 | 1245381896 | NPPES |
| Florida | MEDICAID | 262455900 |
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