Healthcare Provider Details

I. General information

NPI: 1275823635
Provider Name (Legal Business Name): RAVIKANTH REDDY TADI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2011
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PIH HEALTH WHITTIER HOSPITAL 12401 WASHINGTON BLVD
WHITTIER CA
90602
US

IV. Provider business mailing address

12401 WASHINGTON BLVD
WHITTIER CA
90602-1006
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-0811
  • Fax:
Mailing address:
  • Phone: 562-698-0811
  • Fax: 562-789-5902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number147160
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA147160
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: