Dr. Korrapati S Reddy

 

NPI Number Detailed Information

Provider Information:

Name:	Dr. Korrapati S Reddy
Gender:	M
Provider License Number If Given:	25MA06935100

NPI Information:

NPI:	1245225788
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/12/2005
Last Update Date:	2/25/2008

Provider Business Mailing Address:

Address:	66 W GILBERT ST Tinton Falls, NJ 07701
Phone Number:	7322120060
Fax Number:

Provider Business Practice Location Address:

Address:	530 NEW BRUNSWICK AVE Perth Amboy, NJ 08861
Phone Number:	7324423700
Fax Number:

Provider Taxonomy:

Primary:	207P00000X
Secondary (if any):	207R00000X
State:	NJ