| Dwaraknath P. Reddy, M.d. | |
|
1900 Royalty Dr. Suite 205 Pomona CA 91767-3013 | |
| (909) 629-5540 | |
| Not Available |
| Full Name | Dwaraknath P. Reddy, M.d. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1900 Royalty Dr., Pomona, California |
| Authorized Official Name and Position | Dwaraknath P. Reddy (PHYSICIAN) |
| Authorized Official Contact | 9096295540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwaraknath P. Reddy, M.d. 811 E. 11th Street Suite 208 Upland CA 91786-4871 Ph: (909) 629-5540 | Dwaraknath P. Reddy, M.d. 1900 Royalty Dr. Suite 205 Pomona CA 91767-3013 Ph: (909) 629-5540 |
| NPI Number | 1679707046 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 05/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679707046 | NPI | - | NPPES |
| 00A340931 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A34093 (California) | Primary |
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