Provider Demographics
NPI:1326407750
Name:VEMIREDDY, MADHAVI (MD)
Entity Type:Individual
Prefix:DR
First Name:MADHAVI
Middle Name:
Last Name:VEMIREDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 W END AVE
Mailing Address - Street 2:APT 11E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5523
Mailing Address - Country:US
Mailing Address - Phone:646-413-0806
Mailing Address - Fax:
Practice Address - Street 1:760 W END AVE
Practice Address - Street 2:APT 11E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5523
Practice Address - Country:US
Practice Address - Phone:646-413-0806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-13
Last Update Date:2016-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221369207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine