Healthcare Provider Details

I. General information

NPI: 1346551769
Provider Name (Legal Business Name): RAJEEV MARREDDY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2010
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 EBIE CIR
MEDIA PA
19063-2247
US

IV. Provider business mailing address

334 KINGS HWY E
HADDONFIELD NJ
08033-1205
US

V. Phone/Fax

Practice location:
  • Phone: 215-694-9158
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOT012641
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number25MB08927200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: