KAVYA EDAVALLY REDDY


Address: 3000 New Bern Ave, Raleigh, NC 27610-1231
Phone: 9193507000

KAVYA EDAVALLY REDDY (NPI# 1962760777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962760777
Entity Type Individual
Full Name KAVYA EDAVALLY REDDY
Credential MD
Practice Address 3000 New Bern Ave
Raleigh
NC 27610-1231
Mailing Address 1121 Situs Ct Ste 170
Raleigh
NC 27606-4279
Practice Telephone 9193507000
Mailing Telephone 9198342767
Mailing Fax Number 9198340234
Enumeration Date 2012-04-30
Last Update Date 2018-04-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
2018-00612 NC Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
2131 S 17th St, Wilmington, NC 284017407 9107729202 9107729452

Other Providers KAVYA REDDY

NPI Name Taxonomy Address Enumeration
1932549003 Kavya Reddy Pediatrics One Children's Place, 3s34, St. Louis, MO 63110 2013-07-03
1427318682 Kavya Muddasani Reddy Student in an Organized Health Care Education/Training Program 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 2012-05-22

Office Location

Street Address 3000 NEW BERN AVE
City RALEIGH
State NC
Zip Code 27610-1231

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972508661 George Rayburn Cheely Internal Medicine 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 2005-06-17
1811507700 Erika Barbosa Richard Registered Nurse 3000 New Bern Ave, Raleigh, NC 27610-1231 2020-08-05
1790395846 Dana Sroka Thomson Physical Therapist 3000 New Bern Ave, Raleigh, NC 27610-1231 2020-08-04
1477163756 Sarah Anne Schwisow Registered Nurse 3000 New Bern Ave, Raleigh, NC 27610-1231 2020-08-03
1831708486 Andrew Yoon Physician Assistant 3000 New Bern Ave, Raleigh, NC 27610-1231 2020-07-29
1770104622 Sonya Zaghloul Speech-Language Pathologist 3000 New Bern Ave, Raleigh, NC 27610-1231 2020-05-01
1871121269 Bethany Shaffer Flinchum Clinic/Center 3000 New Bern Ave, Raleigh, NC 27610-1231 2020-03-31
1326674789 Thomas Mellette Dietitian, Registered 3000 New Bern Ave, Raleigh, NC 27610-1231 2020-03-18
1457986234 Rose Meitzen Nurse Practitioner 3000 New Bern Ave, Raleigh, NC 27610-1231 2020-03-11
1932733847 Olga Sushkevich Dietitian, Registered 3000 New Bern Ave, Raleigh, NC 27610-1231 2020-02-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1851958839 Alex & Associates, P.C. Dentist 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 2019-05-24
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700497492 Raleigh Radiology Imaging Network, LLC Radiology 505 Oberlin Rd Ste 110, Raleigh, NC 27605-1345 2020-08-14
1598956385 Athena Radiology Solutions Radiology 8309 Six Forks Rd, Suite 101, Raleigh, NC 27615-2096 2007-08-06
1174738082 Janine Beeson Radiology 1121 Situs Ct, Ste 170, Raleigh, NC 27606-4279 2007-05-14
1780669986 John Andrew Bardini Radiology 3200 Blue Ridge Rd, Suite 100, Raleigh, NC 27612-8086 2005-12-09
1699769315 Richard B Clinton Radiology 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 2005-09-08
1689086878 Ryan Stephens Radiology 3949 Browning Pl, Raleigh, NC 27609-6536 2014-05-22
1326468893 Nicole A Keefe Radiology 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 2014-04-23
1750708913 Ashley Nicole Oladipo Radiology 3949 Browning Pl, Raleigh, NC 27609-6536 2014-03-26
1063854354 Christopher Alan Hallmark Radiology 3949 Browning Pl, Raleigh, NC 27609-6536 2013-07-26
1073855318 Sejal Narendra Patel Radiology 3400 Wake Forest Rd, Raleigh, NC 27609 2013-03-25
Find all providers in RALEIGH

Competitor

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City RALEIGH
Zip Code 27610

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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