1295944247 NPI number — NIRMALA REDDY JETTY MD

Table of content: NIRMALA REDDY JETTY MD (NPI 1295944247)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295944247 NPI number — NIRMALA REDDY JETTY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JETTY
Provider First Name:
NIRMALA
Provider Middle Name:
REDDY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295944247
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/24/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4268 CAHABA HEIGHTS CT STE 190
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VESTAVIA
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35243-5711
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-271-2570
Provider Business Mailing Address Fax Number:
205-972-8353

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4268 CAHABA HEIGHTS CT
Provider Second Line Business Practice Location Address:
190
Provider Business Practice Location Address City Name:
VESTAVIA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35243-5711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-934-5038
Provider Business Practice Location Address Fax Number:
205-972-8353
Provider Enumeration Date:
05/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  27667 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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