Provider Demographics
NPI:1730181306
Name:REDDY, N HARINATHA (MD)
Entity type:Individual
Prefix:DR
First Name:N HARINATHA
Middle Name:
Last Name:REDDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:N.H.
Other - Middle Name:
Other - Last Name:REDDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:20060 GOVERNORS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-1029
Mailing Address - Country:US
Mailing Address - Phone:708-283-2600
Mailing Address - Fax:708-283-1250
Practice Address - Street 1:20060 GOVERNORS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1029
Practice Address - Country:US
Practice Address - Phone:708-283-2600
Practice Address - Fax:708-283-1250
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036048469207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00841412OtherMEDICARE RAIL ROAD
IL036048469Medicaid
4571400001Medicare NSC
ILL92030Medicare PIN
CK2034Medicare PIN
ILP00841412OtherMEDICARE RAIL ROAD
ILIL3204001Medicare PIN