| Mahender M Reddy Md Inc | |
|
7330 State Road 52 Hudson FL 34667-6711 | |
| (727) 862-9470 | |
| (727) 862-6489 |
| Full Name | Mahender M Reddy Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7330 State Road 52, Hudson, Florida |
| Authorized Official Name and Position | Nancy A Welling (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7278635263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahender M Reddy Md Inc 7330 State Road 52 Hudson FL 34667-6711 Ph: (727) 862-9470 | Mahender M Reddy Md Inc 7330 State Road 52 Hudson FL 34667-6711 Ph: (727) 862-9470 |
| NPI Number | 1336461763 |
|---|---|
| Provider Enumeration Date | 02/26/2010 |
| Last Update Date | 02/26/2010 |
| Medicare PECOS PAC ID | 3577688167 |
|---|---|
| Medicare Enrollment ID | O20100920000922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336461763 | NPI | - | NPPES |
| 378212300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME0068848 (Florida) | Primary |
| Provider Name | Mahender M Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639156961 PECOS PAC ID: 7719002302 Enrollment ID: I20100920001011 |
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