Reddiwandla Seenu Reddy, M.D., Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A38098 Issued in CA

Legal business name

REDDIWANDLA SEENU REDDY, M.D., INC.

Practice address

8881 Fletcher Pkwy
Ste #240
La Mesa, CA 91942-3134

Phone

(619) 461-6130

Fax

(619) 461-3108

NPI assigned

May 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Reddiwandla Seenu Reddy, M.D.NPI 1710996384

Title

Owner

Phone

(619) 461-6130

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• R. SEENU REDDY, M.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Reddiwandla Seenu Reddy, M.D.

  • Cardiovascular Disease Physician
  • La Mesa, CA
  • NPI 1710996384
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1346509031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "STE #240",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-461-6130",
            "fax_number": "619-461-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "STE #240",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-461-6130",
            "fax_number": "619-461-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDIWANDLA SEENU REDDY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "REDDIWANDLA",
        "authorized_official_middle_name": "SEENU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-461-6130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A38098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A380980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R. SEENU REDDY, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ray E. Aquitania, M.D. Inc
• Razavi Corp
• Brenda Carmen Razouki
• Gwenyth Reciniello
• Scott Recksiedler, D.M.D.
• Reddiwandla Seenu Reddy, M.D.
• Eric John Meyer Reed, MD
• Marcie Reed
• Michelle Reed
• Cynthia Reese

• Cardiovascular Disease Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.