MEDICARE: DR. ANNAPURNA M. 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	207V00000X	Obstetrics & Gynecology Physician	A324520	CA

General Provider Information

NPI Number	:	1871512400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNAPURNA M. REDDY M.D.

Provider Business Mailing Address
First Line	:	3605 HOSPITAL RD
Second Line	:
City	:	ATWATER
State	:	CA
Zip	:	95301-5173
Country	:	US
Telephone Number	:	209-381-2000
Fax Number	:	209-726-0278

Provider Business Practice Location Address
First Line	:	700 W OLIVE AVE
Second Line	:	SUITE H
City	:	MERCED
State	:	CA
Zip	:	95348-2435
Country	:	US
Telephone Number	:	209-384-5855
Fax Number	:	209-384-1611

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	05/09/2019

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