Provider Demographics
NPI:1326072687
Name:REDDY, NARAYAN C (MD)
Entity Type:Individual
Prefix:
First Name:NARAYAN
Middle Name:C
Last Name:REDDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2200 PHILADELPHIA DR
Mailing Address - Street 2:548
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-1840
Mailing Address - Country:US
Mailing Address - Phone:937-424-3883
Mailing Address - Fax:937-424-3885
Practice Address - Street 1:2200 PHILADELPHIA DR
Practice Address - Street 2:548
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-1840
Practice Address - Country:US
Practice Address - Phone:937-424-3883
Practice Address - Fax:937-424-3885
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH043206207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0410488Medicaid
OHD311511Medicare UPIN
OH0410488Medicaid