Most Relevant Information
Provider Data
| NPI Number: | 1003444142 |
| Provider Name: | KETHAN REDDY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 25MA11666100 |
Most Important Dates
| Enumeration Date: | 04/01/2020 |
| Last Updated: | 07/11/2023 |
Provider Practice Location
133 FRANKLIN CORNER RD
LAWRENCEVILLE
NJ
086482531
Practice Location Phone/Fax
| Phone: | 6098157270 |
| Fax: |
Provider Mailing Location
133 FRANKLIN CORNER RD
LAWRENCEVILLE
NJ
086482531
Provider Mailing Phone/Fax
| Phone: | 6098157270 |
| Fax: |
Suggested EMR
Family Practice EMR