05D1047958 CLIA NUMBER - BINDUSAGAR REDDY, MD

Laboratory Demographics

CLIA Number: 05D1047958

Facility Name: BINDUSAGAR REDDY, MD

Facility Address:
579 W PUTNAM AVE
PORTERVILLE, CA
ZIP 93257
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Facility Phone Number: 559 782-8585

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407886799

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	05D1047958
LAB Type	Physician Office
Facility Name	BINDUSAGAR REDDY, MD
Street	579 W PUTNAM AVE
City	PORTERVILLE
State	CA
ZIP	93257
Phone	559 782-8585
CertificateType	4
CertificateEffectiveDate	11/17/2023
CertificateExpirationDate	11/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024