MEDICARE: DR. SAILAJA 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
1	207R00000X	Internal Medicine Physician	150444	MA

General Provider Information

NPI Number	:	1841213378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAILAJA K REDDY M.D

Provider Business Mailing Address
First Line	:	463 WORCESTER RD STE 103
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01701-5354
Country	:	US
Telephone Number	:	508-239-0000
Fax Number	:	508-452-0097

Provider Business Practice Location Address
First Line	:	463 WORCESTER RD STE 103
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01701-5354
Country	:	US
Telephone Number	:	508-239-0000
Fax Number	:	508-452-0097

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	04/16/2020

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