Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ABHINAV ETTYREDDY, M.D.
Active Sole ProprietorOtolaryngic Allergy · WEXFORD, PA
Registration Details
- NPI Number
- 1487004891
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2016 (9.8966221824585 yrs)
- Last Updated
- Apr 4, 2023
- License
-
MD480651 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6041 WALLACE ROAD EXT STE 110WEXFORD, PA, 150907471Browse PA providers · Browse ZIP 15090
- Phone
- 4123217047
- Primary Specialty
-
Otolaryngic Allergy
207YX0901X
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.