| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 11/10/2010 |
| Medicare PECOS PAC ID | 7810172657 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114005865 PECOS PAC ID: 9638196249 Enrollment ID: I20051101001133 |
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