Provider Demographics
NPI:1366406472
Name:REDDY, RAMESHWAR R (MD)
Entity type:Individual
Prefix:
First Name:RAMESHWAR
Middle Name:R
Last Name:REDDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1000 PROVIDENCE PL
Mailing Address - Street 2:APT 454
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-1761
Mailing Address - Country:US
Mailing Address - Phone:401-487-6036
Mailing Address - Fax:
Practice Address - Street 1:70 EAST ST
Practice Address - Street 2:CARITAS HOLY FAMILY HOSPITAL, MEDICAL STAFF OFFICE
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4597
Practice Address - Country:US
Practice Address - Phone:978-687-0156
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA226779207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine