Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | CQP30823 | NY |
NPI | 1427245356 |
---|---|
Provider Name | Dr. Kavita S Reddy |
First Address | New York, NY 10019-2929 |
Second Address | New York, NY 10019-2929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2007 |
Last Update Date | 25/09/2007 |