Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 253476 | NY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 253476 | NY |
NPI | 1083672463 |
---|---|
Provider Name | Dr. Vivek Y Reddy |
First Address | New York, NY 10029-6500 |
Second Address | New York, NY 10029-6501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 20/07/2012 |