Dr. Ajay Reddy, L.l.c. | |
3200 Tower Oaks Blvd Suite#110 Rockville MD 20852-4216 | |
(301) 230-9091 | |
(301) 230-9091 |
Full Name | Dr. Ajay Reddy, L.l.c. |
---|---|
Speciality | Internal Medicine |
Location | 3200 Tower Oaks Blvd, Rockville, Maryland |
Authorized Official Name and Position | Ajay Reddy (OWNER) |
Authorized Official Contact | 3012309091 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr. Ajay Reddy, L.l.c. 3200 Tower Oaks Blvd Suite#110 Rockville MD 20852-4216 Ph: (301) 230-9091 | Dr. Ajay Reddy, L.l.c. 3200 Tower Oaks Blvd Suite#110 Rockville MD 20852-4216 Ph: (301) 230-9091 |
NPI Number | 1871706192 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 11/05/2010 |
Medicare PECOS PAC ID | 2264578061 |
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Medicare Enrollment ID | O20091008000375 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871706192 | NPI | - | NPPES |
023103700 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D53691 (Maryland) | Primary |
Provider Name | Ajay P Reddy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679593685 PECOS PAC ID: 4789739632 Enrollment ID: I20090828000537 |
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