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General NPI Number Information
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NPI Number | 1619178811
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Entity Type | Individual
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Provider Name | MONICA REDDY MD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 7910 W JEFFERSON BLVD STE 217
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City | FORT WAYNE
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State | IN
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Zip | 46804-4159
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Country | US
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Telephone | 260-234-2698
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Fax | 260-344-4203
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Provider Business Mailing Address
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Address Line | PO BOX 749495
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City | ATLANTA
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State | GA
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Zip | 30374-9495
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Country | US
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Telephone | 855-963-2100
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Fax | 813-321-1296
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 01065511A
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License Number State | IN
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