| Aravinda Reddy Md Pa | |
|
240 Williamson St Suite 205 Elizabeth NJ 07202-3674 | |
| (908) 289-8340 | |
| (908) 576-3456 |
| Full Name | Aravinda Reddy Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 240 Williamson St, Elizabeth, New Jersey |
| Authorized Official Name and Position | Aravinda Reddy (PRESIDENT) |
| Authorized Official Contact | 7328619550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aravinda Reddy Md Pa 1089 New Dover Rd Edison NJ 08820-1421 Ph: (732) 673-3057 | Aravinda Reddy Md Pa 240 Williamson St Suite 205 Elizabeth NJ 07202-3674 Ph: (908) 289-8340 |
| NPI Number | 1679852875 |
|---|---|
| Provider Enumeration Date | 08/05/2011 |
| Last Update Date | 04/26/2024 |
| Medicare PECOS PAC ID | 1052587276 |
|---|---|
| Medicare Enrollment ID | O20120110000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679852875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 25MA08807500 (New Jersey) | Primary |
| Provider Name | Aravinda Reddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497948640 PECOS PAC ID: 4981792231 Enrollment ID: I20110412000707 |
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