Provider Demographics
NPI:1134415961
Name:REDDY, KIRAN V (MD)
Entity type:Individual
Prefix:DR
First Name:KIRAN
Middle Name:V
Last Name:REDDY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2200 NORTHERN BLVD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:GREENVALE
Mailing Address - State:NY
Mailing Address - Zip Code:11548-1219
Mailing Address - Country:US
Mailing Address - Phone:516-484-6777
Mailing Address - Fax:516-484-0037
Practice Address - Street 1:2200 NORTHERN BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1219
Practice Address - Country:US
Practice Address - Phone:516-484-6777
Practice Address - Fax:516-484-0037
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2016-12-16
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Provider Licenses
StateLicense IDTaxonomies
NY284300-1207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology