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C G REDDY MD INC NPI 1063490803


NPI Information

NPI: 1063490803
Provider Name: C G REDDY MD INC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1973 EAST MAIN STREET
LANCASTER, OH
ZIP 43130
Phone: (740) 653-9476
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C G REDDY MD INC is a medical specialty clinic center in Lancaster, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). C G REDDY MD INC NPI is 1063490803. The provider is registered as an organization entity type.

The provider's business location address is:

1973 EAST MAIN STREET
LANCASTER, OH
ZIP 43130-353
Phone: (740) 653-9476
Fax: (740) 653-9478

The provider's authorized official is Guru Reddy .
The authorized official title is Ceo and has the following contact phone number (740) 653-9476.

The enumeration date for this NPI number is 1/3/2006 and was last updated on 10/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty35041941OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000118003OTHEROHIOANTHEM
29304144MEDICARE PINOHIO
3B77518MEDICARE UPINOHIO
40420477MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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