Healthcare Provider Details

I. General information

NPI: 1548516131
Provider Name (Legal Business Name): H SAPNA REDDY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10743 N BAIRD AVE
FRESNO CA
93730-5156
US

IV. Provider business mailing address

10743 N BAIRD AVE
FRESNO CA
93730-5156
US

V. Phone/Fax

Practice location:
  • Phone: 310-254-6181
  • Fax:
Mailing address:
  • Phone: 310-254-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125060988
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberA127394
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number89405
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number70266
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: