Individual provider · Type 1 NPI

Vickram Reddy, MD

Student in an Organized Health Care Education/Training Program · Kankakee, IL

NPI number 1730935701 Active

Practice location

350 N Wall St
Kankakee, IL 60901-2901

Call (815) 928-6274 Map

Mailing address

5 Sherburne Ln
Westford, MA 01886-1176

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1730935701

Vickram Reddy, MD's National Provider Identifier is 1730935701, issued on Apr 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kankakee, IL. The record was last updated on Apr 29, 2024.