Mahender M Reddy MD Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME0068848 Issued in FL

Legal business name

MAHENDER M REDDY MD INC

Practice address

7330 State Road 52
Hudson, FL 34667-6711

Phone

(727) 862-9470

Fax

(727) 862-6489

NPI assigned

Feb 26, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nancy A Welling

Title

Credentialing Specialist

Phone

(727) 863-5263

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahender M Reddy, MD

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1639156961
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1336461763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676711",
            "telephone_number": "727-862-9470",
            "fax_number": "727-862-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676711",
            "telephone_number": "727-862-9470",
            "fax_number": "727-862-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHENDER M REDDY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "WELLING",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "727-863-5263",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0068848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378212300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Lyons, APRN PMHNP-BC
• Scot D. Machlus, PH.D.
• Mellissa Madera
• Harish M. Madnani, M.D.
• Ipatia D Magnus, PHD, DNP, FPMHNP-BC
• Alacia Mahnken, PA-C
• Loan Mai, D.O.
• Kimberly A Makuta-Michael
• David W Malka, MD
• Mallory Ventsam Enterprises, LLC

• Geriatric Medicine (Internal Medicine) Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.