| Neelupalli Bojji Reddy, Md Pa | |
|
715 S Shamrock Rd Bel Air MD 21014-4457 | |
| (410) 420-2108 | |
| (410) 420-2109 |
| Full Name | Neelupalli Bojji Reddy, Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 715 S Shamrock Rd, Bel Air, Maryland |
| Authorized Official Name and Position | Neelupalli Bojji Reddy (OWNER) |
| Authorized Official Contact | 4104202108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neelupalli Bojji Reddy, Md Pa 715 S Shamrock Rd Bel Air MD 21014-4457 Ph: (410) 420-2108 | Neelupalli Bojji Reddy, Md Pa 715 S Shamrock Rd Bel Air MD 21014-4457 Ph: (410) 420-2108 |
| NPI Number | 1518028877 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 06/10/2011 |
| Medicare PECOS PAC ID | 5496928020 |
|---|---|
| Medicare Enrollment ID | O20111027000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518028877 | NPI | - | NPPES |
| E368 0001 | Other | BCBS FEDERAL | |
| 191941500 | Medicaid | MD | |
| 52927305 | Other | CAREFIRST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | D43760 (Maryland) | Primary |
| Provider Name | Neelupalli B Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639230980 PECOS PAC ID: 0547446957 Enrollment ID: I20110519000746 |
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