Provider Demographics
NPI:1700047230
Name:REDDY, HARINI B (DMD)
Entity Type:Individual
Prefix:DR
First Name:HARINI
Middle Name:B
Last Name:REDDY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 HUNGARY SPRING RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2420
Mailing Address - Country:US
Mailing Address - Phone:804-501-0816
Mailing Address - Fax:804-501-2890
Practice Address - Street 1:3000 HUNGARY SPRING RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2420
Practice Address - Country:US
Practice Address - Phone:804-501-0816
Practice Address - Fax:804-501-2890
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401008889122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist