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NPI Code Detail

MEDICARE: DR. SANDEEP K REDDY M.D.

MEDICARE: DR. SANDEEP K REDDY M.D.
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
1207RH0003XHematology & Oncology PhysicianA65510CA
2174400000XSpecialistA65510CA

General Provider Information

NPI Number : 1275601775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDEEP K REDDY M.D.
Provider Business Mailing Address
First Line : 2040 E MARIPOSA AVE
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245-5027
Country : US
Telephone Number : 213-266-5600
Fax Number : 213-477-2344
Provider Business Practice Location Address
First Line : 2040 E MARIPOSA AVE
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245
Country : US
Telephone Number : 213-266-5600
Fax Number : 213-477-2344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 07/26/2018

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Directions to “ DR. SANDEEP K REDDY M.D.” Practice Location

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