Provider Demographics
NPI:1205855855
Name:REDDY, ARANI S (MD)
Entity Type:Individual
Prefix:DR
First Name:ARANI
Middle Name:S
Last Name:REDDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W OLIVE AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-2435
Mailing Address - Country:US
Mailing Address - Phone:209-383-6288
Mailing Address - Fax:209-384-1611
Practice Address - Street 1:700 W OLIVE AVE
Practice Address - Street 2:SUITE H
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-2435
Practice Address - Country:US
Practice Address - Phone:209-383-6288
Practice Address - Fax:209-384-1611
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA324610174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA26806Medicare UPIN
CA00A324610Medicare ID - Type Unspecified