Reddy Biomedical Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A120797 Issued in CA

Legal business name

REDDY BIOMEDICAL CORP

Practice address

7695 Cardinal CT
Ste 390
San Diego, CA 92123-3357

Phone

(619) 900-7302

Fax

(855) 819-3916

NPI assigned

Jan 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Samathha R Reddy, M.D.

Title

Owner

Phone

(619) 900-7302

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1679963524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 GENESEE AVE STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174950",
            "telephone_number": "619-900-7302",
            "fax_number": "855-819-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT",
            "address_2": "STE 390",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "619-900-7302",
            "fax_number": "855-819-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY BIOMEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SAMATHHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-900-7302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A120797",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A120797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Reddan, D.O.
• Christopher Redden, MSN, PMHNP
• Deborah Lee Redden, PT
• Timothy L Reddick
• Reddy and Reddy Dental Corporation
• Reddy Medical Corporation
• Dana Ann Copeland Reddy, MD
• Divya K Reddy, MD
• Jyothi J Reddy, MD
• Laya Manthani Reddy, M.D.

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.