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NPI Code Detail

MEDICARE: DR. PRAJEET REDDY MD

MEDICARE:  DR. PRAJEET  REDDY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA11528900NJ
2207R00000XInternal Medicine PhysicianA183889CA

General Provider Information

NPI Number : 1134757396
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRAJEET REDDY MD
Provider Business Mailing Address
First Line : 12100 WILSHIRE BLVD STE 800
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7140
Country : US
Telephone Number : 424-285-5349
Fax Number :
Provider Business Practice Location Address
First Line : 12100 WILSHIRE BLVD STE 800
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7140
Country : US
Telephone Number : 424-285-5349
Fax Number : 424-285-5349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2020
Last Update Date : 04/10/2025

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Directions to “ DR. PRAJEET REDDY MD” Practice Location

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