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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DHEERAJ BODDI REDDY, MD

Active Sole Proprietor

DHEERAJ BODDI REDDY, MD is a Student (Health Education/Training) healthcare provider located in PEORIA, Illinois. NPI 1336933530 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · PEORIA, IL

Registration Details

NPI Number
1336933530
Provider Type
Individual
Gender
Male
NPI Issued
Apr 4, 2025 (1.3192403464106 yrs)
Last Updated
Apr 4, 2025
License
90200000X
Sole Proprietor
Yes

Practice Information

Address
530 NE GLEN OAK AVE
PEORIA, IL, 616370001
Browse IL providers · Browse ZIP 61637
Phone
8556734325
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in PEORIA, IL

Name Credential NPI
KHURRAM RASHID M.D. 1790924488
OTHMAN BENI YONIS MD 1922390616
PAYAM MATIN 1467746719
ANTONIA SALHAB MD 1174801989
MS. SALIMAH DHANJI DMD 1992070049
ALISSA ZIMMERMAN BENNETT MD 1174878672
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.