Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 036.126580 | IL |
N | 207U00000X | Nuclear Medicine Specialist | 2595011 | NY |
NPI | 1174780621 |
---|---|
Provider Name | Dr. Brijesh V Reddy |
First Address | New York, NY 10022-6102 |
Second Address | New York, NY 10065-4885 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 16/11/2012 |