Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 53944 | KY |
N | 111NI0900X | Internist | 53944 | KY |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 53944 | KY |
N | 207RC0000X | Internist - Cardiovascular Disease | 53944 | KY |
NPI | 1841636164 |
---|---|
Provider Name | Dr. Neeti Gajjala Reddy |
First Address | Lexington, KY 40536-0001 |
Second Address | Lexington, KY 40536-0294 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2013 |
Last Update Date | 28/07/2020 |