KURUGANTI A REDDY

Address: 7660 Beverly Blvd Apt 451, Los Angeles, CA 90036-2747
Phone: 6263478178

KURUGANTI A REDDY (NPI# 1740514918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740514918
Entity Type 1 - Individual
Full Name KURUGANTI A REDDY
Other Name ANITHA REDDY
Credential MD
Practice Address 7660 Beverly Blvd Apt 451
Los Angeles
CA 90036-2747
Practice Telephone 6263478178
Enumeration Date 09/22/2009
Last Update Date 09/25/2013
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine A126246 CA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine MD440634 PA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 25MA08789100 NJ Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine MT194287 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 7660 BEVERLY BLVD APT 451
City LOS ANGELES
State CA
Zip Code 90036-2747

Competitor

Search similar physicians

City LOS ANGELES
Zip Code 90036

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.