Anuradha Reddy Md | |
821 N Eutaw St Ste 312 Baltimore MD 21201-6309 | |
(410) 225-8153 | |
(410) 298-8225 |
Full Name | Anuradha Reddy Md |
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Speciality | Internal Medicine |
Location | 821 N Eutaw St Ste 312, Baltimore, Maryland |
Authorized Official Name and Position | Anuradha Reddy (OWNER) |
Authorized Official Contact | 4104612239 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Anuradha Reddy Md 10404 Kingsbridge Rd Ellicott City MD 21042-5852 Ph: (410) 461-2239 | Anuradha Reddy Md 821 N Eutaw St Ste 312 Baltimore MD 21201-6309 Ph: (410) 225-8153 |
NPI Number | 1407061427 |
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Provider Enumeration Date | 05/12/2007 |
Last Update Date | 10/29/2007 |
Medicare PECOS PAC ID | 8325202492 |
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Medicare Enrollment ID | O20120621000326 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407061427 | NPI | - | NPPES |
1407061427 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D006305 (Maryland) | Secondary |
207RR0500X | Internal Medicine - Rheumatology | D006305 (Maryland) | Primary |
Provider Name | Anuradha Reddy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760559009 PECOS PAC ID: 9133383201 Enrollment ID: I20120621000390 |
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