Bhagyam Chenna Reddy, M. D.
Individual provider Active NPI Internal Medicine Physician · West Trenton, NJ
NPI 1033200993 · NPPES record last updated Dec 22, 2010
Key facts
- NPI
- 1033200993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA05062500 (NJ)
- Practice address
- 301 Sullivan Way
West Trenton, NJ 08628-3406 - Phone
- (609) 633-1500
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Jersey Omb Centralized Payroll | Past |
Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA05062500 | NJ | Yes |
Addresses
Primary practice location
301 Sullivan Way
West Trenton, NJ 08628-3406
Mailing address
301 Sullivan Way
West Trenton, NJ 08628-3406
Phone (609) 633-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 716738C2D | Other | NJ | MEDICARE PROVIDER NUMBER |
Other providers in West Trenton, NJ
- Soumya Patel
- Victoria Anne Petivan
- Renee A Phifer
- Carol A Pletnick
- PPS of NJ LLC
- Amir M Rizvi
- Robert Lawrence Roth
- Ronald Jason Saffar
- Nena T Sapp
- Nancy Scott
All providers in West Trenton, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.