Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | 35.090696 | OH |
NPI | 1013032184 |
---|---|
Provider Name | Dr. Nenuka Dargani Reddy |
First Address | West Chester, OH 45069-4516 |
Second Address | Cincinnati, OH 45216-1015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 14/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2833456 | (05) | OH |