Provider Demographics
NPI:1982961520
Name:NEBOORI, HANMANTH JAIDEEP REDDY (MD)
Entity Type:Individual
Prefix:DR
First Name:HANMANTH
Middle Name:JAIDEEP REDDY
Last Name:NEBOORI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2545 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7300
Mailing Address - Country:US
Mailing Address - Phone:484-884-5818
Mailing Address - Fax:610-402-0708
Practice Address - Street 1:1240 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6369
Practice Address - Country:US
Practice Address - Phone:610-402-0709
Practice Address - Fax:610-402-0708
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1501992085R0001X
PAMD4683972085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology