| Jag Reddy Md Inc | |
|
24411 Health Center Dr Suite 620 Laguna Hills CA 92653-3651 | |
| (949) 521-6060 | |
| (949) 521-6063 |
| Full Name | Jag Reddy Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 24411 Health Center Dr, Laguna Hills, California |
| Authorized Official Name and Position | Jagadeesh C. Reddy (PRESIDENT) |
| Authorized Official Contact | 9495216060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jag Reddy Md Inc 6789 Quail Hill Pkwy #101 Irvine CA 92603-4233 Ph: (949) 521-6060 | Jag Reddy Md Inc 24411 Health Center Dr Suite 620 Laguna Hills CA 92653-3651 Ph: (949) 521-6060 |
| NPI Number | 1225456742 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 04/01/2014 |
| Medicare PECOS PAC ID | 1658595608 |
|---|---|
| Medicare Enrollment ID | O20140612001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225456742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Jagadeesh C Reddy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083610703 PECOS PAC ID: 5698755114 Enrollment ID: I20060206000689 |
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