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NPI Code Detail

MEDICARE: REDDY MEDICAL ASSOCIATES P.C.

MEDICARE: REDDY MEDICAL ASSOCIATES P.C.
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
13336C0003XCommunity/Retail Pharmacy0201004047VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14838869OTHERNCPDP

General Provider Information

NPI Number : 1528084084
Entity Type Code : Organization
Provider Name (Legal Business Name) : REDDY MEDICAL ASSOCIATES P.C.
Provider Business Mailing Address
First Line : 2809 NORTH AVE
Second Line : 103
City : RICHMOND
State : VA
Zip : 23222-3647
Country : US
Telephone Number : 804-329-0077
Fax Number : 804-329-3330
Provider Business Practice Location Address
First Line : 2809 NORTH AVE
Second Line : 103
City : RICHMOND
State : VA
Zip : 23222-3647
Country : US
Telephone Number : 804-329-0077
Fax Number : 804-329-3330
Authorized Official
Title or Position : PHARMACIST IN CHARGE
Name : MR. RAMAKRISHNA REDDY NERAVETLA
Credential : R.PH.
Telephone Number : 804-329-0077
Provider Enumeration Date : 07/15/2006
Last Update Date : 08/22/2020

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Directions to “REDDY MEDICAL ASSOCIATES P.C. ” Practice Location

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