Provider Demographics
NPI:1538347711
Name:BYREDDY, RASHMI
Entity type:Individual
Prefix:
First Name:RASHMI
Middle Name:
Last Name:BYREDDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 JILL CT
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4799
Mailing Address - Country:US
Mailing Address - Phone:732-297-4622
Mailing Address - Fax:
Practice Address - Street 1:407 KING GEORGE RD
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2812
Practice Address - Country:US
Practice Address - Phone:908-991-0007
Practice Address - Fax:908-647-0357
Is Sole Proprietor?:No
Enumeration Date:2008-02-10
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02917800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI02917800OtherPHARMACIST