MEDICARE: DR. ANJALI MALLA REDDY DDS

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	DN28723	FL

General Provider Information

NPI Number	:	1255999108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANJALI MALLA REDDY DDS

Provider Business Mailing Address
First Line	:	4140 WOODLANDS PKWY STE A
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-3501
Country	:	US
Telephone Number	:	727-789-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	4140 WOODLANDS PKWY STE A
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-3501
Country	:	US
Telephone Number	:	727-789-1980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2019
Last Update Date	:	06/20/2024

Similar Medicare Providers

1417942236 — DR. JULIE A ANDERSON M.D.
Practice Location Address:

4140 WOODLANDS PKWY , SUITE B
PALM HARBOR, FL
34685-3501

Practice Phone: 727-773-1013
Practice Fax: 813-635-2636

1346315751 — MS. IRENE TERRERO SLP-CCC
Practice Location Address:

3501 GEORGIA AVE
WEST PALM BEACH, FL
33405-1832

Practice Phone: 561-650-8058
Practice Fax: 561-650-8059

1144426982 — MARIA ESTELA EDWARD
Practice Location Address:

3501 GEORGIA AVE
WEST PALM BEACH, FL
33405-1832

Practice Phone: 561-577-1620
Practice Fax: 561-650-8058

1770851719 — SHADHI AJLANI CRNA
Practice Location Address:

3501 TAYLOR DR
PALM SPRINGS, CA
92262-0477

Practice Phone: 225-229-8808
Practice Fax:

1063828234 — JOSHUA TREE HEALTHCARE, INC.
Practice Location Address:

75410 GERALD FORD DR STE 200
PALM DESERT, CA
92211-3501

Practice Phone: 951-397-4766
Practice Fax:

1245715325 — MYERS INSTITUTE FOR FASCIAL MATRIX CONNECTION METHOD LLC
Practice Location Address:

237 10TH ST LOWR
WEST PALM BEACH, FL
33401-3501

Practice Phone: 610-781-0235
Practice Fax:

Directions to “ DR. ANJALI MALLA REDDY DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.