Active NPIIndividual providerSole proprietor

Dr. Bhavani Jeereddy, MD

Internal Medicine in Kenilworth, New Jersey

NPI Number1689833485
Practice location
66 S 21ST St, Kenilworth, NJ 07033-1626
Fax
908-276-6807
Last updated
October 29, 2012

Bhavani Jeereddy is an Internal Medicine based in Kenilworth, NJ. Bhavani Jeereddy practices in Kenilworth, NJ and has the professional credentials of MD. The NPI Number for Bhavani Jeereddy is 1689833485 and holds a License No. 25MA08409200 (NJ). The current practice location address for Bhavani Jeereddy is 66 S 21ST St, Kenilworth, NJ 07033-1626 and can be reached out via phone at 908-276-9595 and via fax at 908-276-6807.

Provider Profile Details

NPI Number
1689833485
Provider Name
Bhavani Jeereddy
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
66 S 21ST St, Kenilworth, NJ 07033-1626
Phone Number
908-276-9595
Fax Number
908-276-6807
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 5, 2008
Last Update Date
October 29, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 S 21ST St
Kenilworth, NJ 07033-1626
Zip
07033-1626
Phone Number
908-276-9595
Fax Number
908-276-6807
Kenilworth, NJ 07033Get directions →

Provider Business Mailing Address Details

Address
66 S 21ST St
Kenilworth, NJ 07033-1626
City
Kenilworth
State
NJ
Zip
07033-1626
Phone Number
908-276-9595

License Information

License Number
25MA08409200
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bhavani Jeereddy, MD?

The NPI number of Dr. Bhavani Jeereddy, MD is 1689833485. It was assigned on June 5, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Bhavani Jeereddy, MD?

Dr. Bhavani Jeereddy, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA08409200.

Where does Dr. Bhavani Jeereddy, MD practice?

The practice location is 66 S 21ST St, Kenilworth, NJ 07033-1626. The office can be reached at 908-276-9595 (phone) or 908-276-6807 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689833485 directly on the NPPES registry website.

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