MEDICARE: SWAPNA REDDY PHD

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	183500000X	Pharmacist	53394	CA

General Provider Information

NPI Number	:	1306270921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SWAPNA REDDY PHD

Provider Business Mailing Address
First Line	:	1301 TAFT HWY SPC 53
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93307-6277
Country	:	US
Telephone Number	:	760-881-0417
Fax Number	:

Provider Business Practice Location Address
First Line	:	2628 MT VERNON
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93307-6277
Country	:	US
Telephone Number	:	661-871-3855
Fax Number	:

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

Provider Enumeration Date	:	08/30/2013
Last Update Date	:	08/30/2013

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Directions to “ SWAPNA REDDY PHD” Practice Location

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