Ajay Reddivari in Kettering - Cardiovascular Disease

Ajay Reddivari - NPI 1063494086

Ajay Reddivari is a Cardiovascular Disease in Kettering, Ohio. Ajay Reddivari practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Ajay Reddivari is 1063494086. The last update date is 2021-01-04.

Ajay Reddivari's current location address is 1380 E Stroop Rd, Kettering, Ohio. You can contact this provider via phone number 9372944356 and fax number 9372972381. The mailing address for Ajay Reddivari is 1380 E Stroop Rd, Kettering, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Ajay Reddivari
Address 1380 E Stroop Rd, Kettering, Ohio
Phone Number 9372944356
Fax Number 9372972381
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1063494086
Provider Enumeration Date 2005-11-16
Last Updated Date 2021-01-04

Provider Mailing Address Detail

Address 1380 E Stroop Rd
City Kettering
State Ohio (OH)
Post Code 454294926
Phone Number 9372944356
Fax Number 9372972381

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 35-06-0503R
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
941600 OH --

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FAQs about Ajay Reddivari

What is the unique 10-digit identifier code assigned to Ajay Reddivari by the Centers for Medicare & Medicaid Services?

The Ajay Reddivari has been issued the NPI (National Provider Identifier) 1063494086 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Ajay Reddivari's facilities are geographically located?

The facilities of Ajay Reddivari are physically situated at the following location: 1380 E Stroop Rd, Kettering, OH, 454294926.

What is Ajay Reddivari's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ajay Reddivari's area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.

On what date did Ajay Reddivari receive its 1063494086 assignment from the Centers for Medicare & Medicaid Services?

The Ajay Reddivari was assigned its 1063494086 on 2005-11-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Ajay Reddivari most recently updated or refreshed?

The details pertaining to the Ajay Reddivari, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-01-04.

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