IndividualActive
Adhvith Reddivari, DO
NPI 1063917615 · Emergency Medicine Physician · Hattiesburg, MS
Provider details
- NPI number
- 1063917615
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
5001 Hardy St
Hattiesburg, MS 39402-1308
Phone: (601) 296-3963
Approximate (ZIP-level) locationGet directions
Mailing address
10589 Willow Brook Rd
Dayton, OH 45458-4738
Registry dates
- Enumerated
- 2018-03-27
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.