IndividualActive
Bouyella Reddy, M.D.
NPI 1043299746 · Interventional Cardiology Physician · Moline, IL
Provider details
- NPI number
- 1043299746
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036097680 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1100 36th Avenue
Moline, IL 61265
Phone: (309) 743-6700
Fax: (309) 743-6709
Approximate (ZIP-level) locationGet directions
Mailing address
1236 E Rusholme St
Davenport, IA 52803-2434
Registry dates
- Enumerated
- 2006-01-11
- Last updated
- 2021-02-10
- Certified
- 2021-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.