Provider Demographics
NPI:1083069611
Name:REDDY, NAVYA M (MD)
Entity Type:Individual
Prefix:
First Name:NAVYA
Middle Name:M
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:625 WEST CITRACADO PARKWAY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4135
Mailing Address - Country:US
Mailing Address - Phone:760-466-1554
Mailing Address - Fax:760-294-2910
Practice Address - Street 1:625 WEST CITRACADO PARKWAY
Practice Address - Street 2:SUITE 108
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-9202
Practice Address - Country:US
Practice Address - Phone:760-743-1431
Practice Address - Fax:760-743-6455
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2022-09-15
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Provider Licenses
StateLicense IDTaxonomies
CA390200000X
CAA151525207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program