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MALLU REDDY M D INC NPI 1902111834


NPI Information

NPI: 1902111834
Provider Name: MALLU REDDY M D INC

Doing Business As: REDDY CARE MEDICAL

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1900 ROYALTY DR
SUITE 205
POMONA, CA
ZIP 91767
Phone: (909) 623-4050
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MALLU REDDY M D INC is an internal medicine in Pomona, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MALLU REDDY M D INC NPI is 1902111834. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Reddy Care Medical.

The provider's business location address is:

1900 ROYALTY DR
SUITE 205
POMONA, CA
ZIP 91767-032
Phone: (909) 623-4050
Fax: (909) 620-5259

The provider's authorized official is Mallu Chenna Reddy .
The authorized official title is Ceo/director and has the following contact phone number (909) 623-4050.

The enumeration date for this NPI number is 8/16/2010 and was last updated on 3/5/2012.


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
1207R00000XInternal MedicineYes

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
1WA629581MEDICARE PINCALIFORNIA
2G55885MEDICARE UPINCALIFORNIA
300A629580MEDICARE PINCALIFORNIA
400A629580MEDICAIDCALIFORNIA

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: 11/14/2023

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