Organization Active NPI

Bamenda Health, LLC

Doing business as Bamenda Health

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1417611765
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BAMENDA HEALTH, LLC
Doing business as
Bamenda Health
Practice address
924 E Hyde Park Blvd Unit 3W
Chicago, IL 60615-2728
Phone
(214) 566-8175
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Dr. Ajay K Reddy, INTERNAL MEDICINE
Title
Medical Doctor
Phone
(214) 566-8175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

924 E Hyde Park Blvd Unit 3W
Chicago, IL 60615-2728

Mailing address

924 E Hyde Park Blvd Unit 3W
Chicago, IL 60615-2728
Phone (214) 566-8175

Other names 1

  • Bamenda Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1417611765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 E HYDE PARK BLVD UNIT 3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152728",
            "telephone_number": "214-566-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 E HYDE PARK BLVD UNIT 3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152728",
            "telephone_number": "214-566-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMENDA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "214-566-8175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "INTERNAL MEDICINE"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bamenda Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.