Bhavani Jeereddy


Address: 66 S 21st St, Kenilworth, NJ 07033-1626

Bhavani Jeereddy (NPI# 1689833485, PAC ID# 0840459756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1689833485
PAC ID by PECOS 0840459756
Professional Enrollment ID I20120313000681
Full Name Bhavani Jeereddy
Address 66 S 21st St
Kenilworth
NJ 07033-1626
Gender F
Graduation Year 2001
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310051 OVERLOOK MEDICAL CENTER

Other Locations

Address Phone Organization
66 S 21st St, Kenilworth, NJ 07033-1626

Organization Information

Office Location

Street Address 66 S 21ST ST
City KENILWORTH
State NJ
Zip 07033-1626

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Competitor

Search similar physicians

City KENILWORTH
Zip Code 07033
Specialty INTERNAL MEDICINE
City + Specialty KENILWORTH + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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