Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 42675 | KY |
N | 207RC0000X | Internist - Cardiovascular Disease | 42675 | KY |
NPI | 1407045693 |
---|---|
Provider Name | Hareeprasad Reddy Vongooru |
First Address | Cincinnati, OH 45263-6324 |
Second Address | Edgewood, KY 41017-3439 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2007 |
Last Update Date | 03/11/2021 |