Dr. Bouyella H Reddy
Interventional Cardiology
1100 36th Avenue
Moline
, Illinois 61265
Dr. Bouyella H Reddy
Interventional Cardiology
1100 36th Avenue
Moline
, Illinois 61265
(563) 324-8562
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About
Features
Specialties
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Dr. Bouyella H Reddy
- 1236 E Rusholme St
- Davenport, IA
- Zip : 52803-2434
- Fax : (563) 324-8562
- Phone : (563) 324-2992
Second Address
- Dr. Bouyella H Reddy
- 1100 36th Avenue
- Moline, IL
- Zip : 61265
- Fax : (309) 743-6709
- Phone : (309) 743-6700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0011X | Interventional Cardiology | 036097680 | IL |
National Provider Identifier
| NPI | 1043299746 |
|---|---|
| Provider Name | Dr. Bouyella H Reddy |
| First Address | Davenport, IA 52803-2434 |
| Second Address | Moline, IL 61265 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 10/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036097680 | (05) | IL |
| 7168971 | (05) | IA |
| F32707 | (02) | |
| P00180524 | MEDICARE RAILROAD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.