NAGENDRA PRASAD REDDY MD NPI 1053372177

NPI Information

  • NPI: 1053372177
  • Provider Name: NAGENDRA PRASAD REDDY, MD
  • Classification: Hospitalist - 208M00000X
  • Entity Type: Individual
  • Address: 894 E 3900 S
    #B
    SALT LAKE CITY, UT
    ZIP 84107
  • Phone: (866) 500-7071

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NPI Details

Nagendra Prasad Reddy, MD is a hospitalist in Salt Lake City, UT. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Nagendra Prasad Reddy, MD NPI is 1053372177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

894 E 3900 S
#B
SALT LAKE CITY, UT
ZIP 84107-151
Phone: (866) 500-7071
Fax: (866) 500-7081

The enumeration date for this NPI number is 3/29/2006 and was last updated on 3/26/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine6369024-1205UTAHNo
2207R00000XInternal Medicine2005020847MISSOURINo
3208M00000XHospitalist6369024-1205UTAHYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16369024-8905OTHERUTAHUTAH DOPL CS
2I02492MEDICARE UPINUTAH
3000060550MEDICARE PINUTAH
46369024-1205OTHERUTAHUTAH DOPL
5937794816MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
6208331801MEDICAIDMISSOURI
7I02492MEDICARE UPINMISSOURI

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: 11/21/2025

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