Vijaya M Reddy MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A69268 Issued in CA

Legal business name

VIJAYA M REDDY MD INC

Practice address

39350 Civic Center Dr.
#100
Fremont, CA 94538-0000

Phone

(510) 456-4600

NPI assigned

Jan 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Vijayalakashmi M Reddy, MD

Title

Physician, Owner

Phone

(415) 499-5132

Specialties & licenses 1

Addresses

Other names 1

• Vijayalakshmi M Reddy owner Other name

Locations

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1407246556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 IRWIN ST. #102",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-289-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39350 CIVIC CENTER DR.",
            "address_2": "#100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945380000",
            "telephone_number": "510-456-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYA M REDDY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "VIJAYALAKASHMI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "415-499-5132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A69268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vijayalakshmi M Reddy owner",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Anesthesiology Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.