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1093935058 NPI number — VINAY C REDDY M.D., MPH

NPI Number: 1093935058
Health Care Provider/Practitioner: VINAY C REDDY M.D., MPH

Information about “1093935058” NPI (VINAY C REDDY M.D., MPH) exists in 1093935058 in HTML format HTML  |  1093935058 in plain Text format TXT  |  1093935058 in PDF (Portable Document Format) PDF  |  1093935058 in an XML format XML  formats.

NPI Number : 1093935058 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093935058",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REDDY",
    "FirstName": "VINAY",
    "MiddleName": "C",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D., MPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "100 VILLAGE CENTER DRIVE",
    "SecondLineMailingAddress": "SUITE 1002",
    "MailingAddressCityName": "CHAPEL HILL",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27516",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "984-215-6550",
    "MailingAddressFaxNumber": "984-215-6555",
    "FirstLinePracticeLocationAddress": "100 VILLAGE CENTER DRIVE SUITE 1002",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHAPEL HILL",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27516-6119",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "984-215-6550",
    "PracticeLocationAddressFaxNumber": "984-215-6555",
    "EnumerationDate": "05/01/2007",
    "LastUpdateDate": "04/01/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "200700466",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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