Healthcare Provider Details

I. General information

NPI: 1528272143
Provider Name (Legal Business Name): NARENDRANATH A REDDY,M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 02/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W HUNTINGTON DR STE 327
ARCADIA CA
91007-1501
US

IV. Provider business mailing address

301 W HUNTINGTON DR STE 327
ARCADIA CA
91007-1501
US

V. Phone/Fax

Practice location:
  • Phone: 626-447-8129
  • Fax: 626-447-2094
Mailing address:
  • Phone: 626-447-8129
  • Fax: 626-447-2094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA31701
License Number StateCA

VIII. Authorized Official

Name: DR. NARENDRANATH A REDDY
Title or Position: PRESIDENT
Credential:
Phone: 626-447-8129