Vijaya L Reddy Md Inc | |
9261 Laguna Springs Dr Suite 100 Elk Grove CA 95758-7983 | |
(916) 688-1111 | |
Not Available |
Full Name | Vijaya L Reddy Md Inc |
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Speciality | Family Medicine |
Location | 9261 Laguna Springs Dr, Elk Grove, California |
Authorized Official Name and Position | Vijaya L Reddy Md Inc (PRESIDENT) |
Authorized Official Contact | 9166867282 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vijaya L Reddy Md Inc 9261 Laguna Springs Dr Suite 100 Elk Grove CA 95758-7983 Ph: (916) 688-1111 | Vijaya L Reddy Md Inc 9261 Laguna Springs Dr Suite 100 Elk Grove CA 95758-7983 Ph: (916) 688-1111 |
NPI Number | 1366743197 |
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Provider Enumeration Date | 11/10/2010 |
Last Update Date | 11/10/2010 |
Medicare PECOS PAC ID | 7810172657 |
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Medicare Enrollment ID | O20110421000248 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366743197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A91027 (California) | Primary |
Provider Name | Vijaya L Reddy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114005865 PECOS PAC ID: 9638196249 Enrollment ID: I20051101001133 |
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