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Dr. Vidhath Reddy Moku, DO
Student in an Organized Health Care Education/Training Program in Poughkeepsie, New York
NPI 1730717018

Vidhath Reddy Moku is a Student in an Organized Health Care Education/Training Program based in Poughkeepsie, NY. Vidhath Reddy Moku practices in Poughkeepsie, NY and has the professional credentials of DO. The NPI Number for Vidhath Reddy Moku is 1730717018 and holds a License No. (New York).

The current practice location address for Vidhath Reddy Moku is 45 Reade Pl, Poughkeepsie, NY and can be reached out via phone at 845-790-2085.

Location: 45 Reade Pl, Poughkeepsie, NY, 12601-3947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730717018
Provider Name
Vidhath Reddy Moku
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
45 Reade Pl, Poughkeepsie, NY, 12601-3947
Phone Number
845-790-2085
Fax Number
Provider Enumeration Date
03/31/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
597729956 01 NY DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
45 Reade Pl
City
Poughkeepsie
State
New York
Zip
12601-3947
Phone Number
845-790-2085
Fax Number
person
Provider Business Mailing Address Details
Address
45 Reade Pl
City
Poughkeepsie
State
New York
Zip
12601-3947
Phone Number
845-790-2085
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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