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NPI Code Detail

MEDICARE: ARJUN N REDDY MD

MEDICARE: ARJUN N 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 PhysicianA61204CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730132457
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARJUN N REDDY MD
Provider Business Mailing Address
First Line : PO BOX 3219
Second Line :
City : LA MESA
State : CA
Zip : 91944-3219
Country : US
Telephone Number : 619-464-5174
Fax Number : 619-464-5104
Provider Business Practice Location Address
First Line : 4921 DEHESA RD
Second Line :
City : EL CAJON
State : CA
Zip : 92019-2929
Country : US
Telephone Number : 619-445-0707
Fax Number : 619-445-0901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 02/03/2026

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Directions to “ ARJUN N REDDY MD” Practice Location

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