Dwaraknath P. Reddy, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DWARAKNATH P. REDDY, M.D.

Practice address

811 E 11TH St
Suite 208
Upland, CA 91786-4871

Phone

(909) 629-5540

Fax

(909) 946-3070

NPI assigned

Jul 17, 2007

Last updated

Jul 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dianne Hernandez

Title

Office Manager

Phone

(909) 629-5540

Specialties & licenses 1

Addresses

Tax ID family

Dwaraknath P Reddy MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dwaraknath P. Reddy, M.D.

  • Gastroenterology Physician
  • Pomona, CA
  • NPI 1679707046
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dwaraknath Ponnalur Reddy, M.D.

  • Gastroenterology Physician
  • Upland, CA
  • NPI 1417964917
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1578762779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST",
            "address_2": "SUITE 208",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864871",
            "telephone_number": "909-629-5540",
            "fax_number": "909-946-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST",
            "address_2": "SUITE 208",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864871",
            "telephone_number": "909-629-5540",
            "fax_number": "909-946-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWARAKNATH P. REDDY, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-629-5540"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roman Duro
• Nancy Guadalupe Duron, ASCW
• Daniel Duroseau, DDS
• Bruce Granger Duvall, O.D.
• Dva Healthcare Renal Care Inc (Upland Dialysis)
• Joseph Dwyer
• Dynamic Performance Physical Therapy Inc (Kore Physical Therapy)
• Christin Dziadowicz, FNP
• Lily Elikplim Dzidula
• Jenmarie Christine Eadie, LCSW

• Gastroenterology Physician in Upland, CA
• Providers in Upland, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.