Search › Washington › 207RI0011X
Revati Reddy, MD
NPI 1790147213 · on the registry since 2016
Practice
- Address
- 1615 Delaware St
Longview, WA 98632 - Phone
- (360) 414-2730
- Fax
- (360) 414-2739
- Organisation at this address
- Peacehealth
Peacehealth
Peacehealth
Peacehealth
PeacehealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 261
Additional practice sites
- Msc10 5550 1 University Of New Mexico, Albuquerque, NM
- 5 Tampa General Cir # 750, Tampa, FL
- 1 Tampa General Cir, Tampa, FL
- 3001 W Dr Martin Luther King Jr Blvd Fl 3, Tampa, FL
Registry record
- Primary taxonomy
- 207RI0011X
207RI0011X
- Also registered as
- 207R00000X
207R00000X
208M00000X
390200000X - Licence states on file
- NM, FL, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington