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JAYAPAL A REDDY MD AND RADHA T REDDY MD INC NPI 1881937068


NPI Information

NPI: 1881937068
Provider Name: JAYAPAL A REDDY MD AND RADHA T REDDY MD INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
9471 HAVEN AVE
SUITE 140
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 474-2333
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JAYAPAL A REDDY MD AND RADHA T REDDY MD INC is a specialist in Rancho Cucamonga, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JAYAPAL A REDDY MD AND RADHA T REDDY MD INC NPI is 1881937068. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9471 HAVEN AVE
SUITE 140
RANCHO CUCAMONGA, CA
ZIP 91730-844
Phone: (909) 474-2333

The provider's authorized official is Radha Thiruvengadam Reddy .
The authorized official title is Secretary and has the following contact phone number (909) 561-6627.

The enumeration date for this NPI number is 4/5/2013 and was last updated on 12/27/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA89463CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F96235MEDICARE UPINCALIFORNIA
200A894630MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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