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NPI Code Detail

MEDICARE: DR. REENA MARIDHI NANJIREDDY MD

MEDICARE: DR. REENA MARIDHI NANJIREDDY 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
12084N0400XNeurology PhysicianA139161CA

General Provider Information

NPI Number : 1164657094
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REENA MARIDHI NANJIREDDY MD
Provider Business Mailing Address
First Line : 3160 FOLSOM BLVD STE 2100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-5266
Country : US
Telephone Number : 916-734-6514
Fax Number : 916-734-6525
Provider Business Practice Location Address
First Line : 3160 FOLSOM BLVD STE 2100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-5266
Country : US
Telephone Number : 916-734-6514
Fax Number : 916-734-6525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2009
Last Update Date : 08/02/2022

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