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General NPI Number Information
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NPI Number | 1639230980
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Entity Type | Individual
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Provider Name | NEELUPALLI BOJJI REDDY MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | 715 S SHAMROCK RD
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City | BEL AIR
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State | MD
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Zip | 21014-4457
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Country | US
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Telephone | 410-420-2108
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Fax | 410-420-2109
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Provider Business Mailing Address
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Address Line | 715 S SHAMROCK RD
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City | BEL AIR
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State | MD
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Zip | 21014-4457
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Country | US
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Telephone | 410-420-2108
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Fax | 410-420-2109
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D43760
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License Number State | MD
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