Dr. Nitya Reddy
Periodontist
520 N 12th St
Richmond
, Virginia 23298-5064
Dr. Nitya Reddy
Periodontist
520 N 12th St
Richmond
, Virginia 23298-5064
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Nitya Reddy
- 520 N 12th St
- Richmond, VA
- Zip : 23298-5064
- Phone :
Second Address
- Dr. Nitya Reddy
- 520 N 12th St
- Richmond, VA
- Zip : 23298-5064
- Phone : (804) 828-9356
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 0442000368 | VA |
National Provider Identifier
| NPI | 1063942241 |
|---|---|
| Provider Name | Dr. Nitya Reddy |
| First Address | Richmond, VA 23298-5064 |
| Second Address | Richmond, VA 23298-5064 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2017 |
| Last Update Date | 03/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0442000368 | TEMPORARY RESIDENT DENTAL LICENSE IN VA (01) | VA |
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.