Healthcare Provider Details

I. General information

NPI: 1376525683
Provider Name (Legal Business Name): EVERYDAY FAMILY SURGICAL MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 05/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3270 CHURN CREEK RD.
REDDING CA
96002
US

IV. Provider business mailing address

P.O. BOX 991900
REDDING CA
96099
US

V. Phone/Fax

Practice location:
  • Phone: 530-222-6886
  • Fax: 530-222-4480
Mailing address:
  • Phone: 530-222-6886
  • Fax: 530-222-4480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: USHA RANI REDDY
Title or Position: MEDICAL DOCTOR/PRESIDENT OF COMPANY
Credential: M.D.
Phone: 530-222-6886