NPI 1063917615

Adhvith Reddivari, DO

Practitioner Emergency Medicine Physician Hattiesburg, MS

Practice location

Address: 5001 Hardy St, Hattiesburg, MS 39402-1308
Phone: (601) 296-3963
Mailing address: 10589 Willow Brook Rd, Dayton, OH 45458-4738

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 28283 (MS)

Other Emergency Medicine providers in Mississippi →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Mississippi →

Registry record

NPI: 1063917615
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2018
Record last updated: 25 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.