Dr Pranav Konudulla Reddy, MD | |
2810 Nicollet Ave, Minneapolis, MN 55408-4708 | |
(612) 873-3044 | |
(612) 630-8242 |
Full Name | Dr Pranav Konudulla Reddy |
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Gender | Male |
Speciality | Family Medicine |
Location | 2810 Nicollet Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346530995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1346530995 (Minnesota) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Dr Pranav Konudulla Reddy, MD 2295 S Vineyard Ave Ste A, Ontario, CA 91761-7926 Ph: (909) 724-2561 | Dr Pranav Konudulla Reddy, MD 2810 Nicollet Ave, Minneapolis, MN 55408-4708 Ph: (612) 873-3044 |
David Jewison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 University Ave Se, Minneapolis, MN 55414 Phone: 612-884-0406 | |
Kristopher Hartwig, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000 | |
Emily Funk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-262-5000 | |
Rachel Ann Feliciano, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2001 Blaisdell Ave, Minneapolis, MN 55404 Phone: 952-993-8000 | |
Ms. Stephanie Grady, PA & NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-2612 | |
Lee W Rock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4730 Chicago Ave, Minneapolis, MN 55407 Phone: 952-883-6805 | |
David Jonathan Satin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2615 East Franklin Avenue, Ufp - Smiley's Clinic, Minneapolis, MN 55406 Phone: 612-333-0770 |