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NEELUPALLI BOJJI REDDY MD PA NPI 1518028877


NPI Information

NPI: 1518028877
Provider Name: NEELUPALLI BOJJI REDDY, MD PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
715 S SHAMROCK RD
BEL AIR, MD
ZIP 21014
Phone: (410) 420-2108
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NEELUPALLI BOJJI REDDY, MD PA is a neurology psychiatry neurology in Bel Air, MD. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NEELUPALLI BOJJI REDDY, MD PA NPI is 1518028877. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

715 S SHAMROCK RD
BEL AIR, MD
ZIP 21014-457
Phone: (410) 420-2108
Fax: (410) 420-2109

The provider's authorized official is Neelupalli Bojji Reddy .
The authorized official title is Owner and has the following contact phone number (410) 420-2108.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 6/10/2011.


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
12084N0400XPsychiatry & NeurologyNeurologyD43760MARYLANDYes

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
17880MEDICARE ID-TYPE UNSPECIFIED
2191941500MEDICAIDMARYLAND
352927305OTHERCAREFIRST BCBS
4E368 0001OTHERBCBS FEDERAL

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: 5/5/2024

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