MEDICARE: H D REDDY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	111539	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073583845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	H D REDDY MD

Provider Business Mailing Address
First Line	:	1055 SAW MILL RIVER RD
Second Line	:	211
City	:	ARDSLEY
State	:	NY
Zip	:	10502
Country	:	US
Telephone Number	:	914-693-3633
Fax Number	:	914-479-0629

Provider Business Practice Location Address
First Line	:	1055 SAW MILL RIVER RD
Second Line	:	211
City	:	ARDSLEY
State	:	NY
Zip	:	10502
Country	:	US
Telephone Number	:	914-693-3633
Fax Number	:	914-479-0629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	02/25/2008

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Directions to “ H D REDDY MD” Practice Location

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