Provider Demographics
NPI:1487840757
Name:RANGA C. REDDY MD INC.
Entity Type:Organization
Organization Name:RANGA C. REDDY MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RANGA
Authorized Official - Middle Name:C
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-966-1818
Mailing Address - Street 1:172 W BADILLO ST
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-2015
Mailing Address - Country:US
Mailing Address - Phone:626-966-1818
Mailing Address - Fax:626-332-8688
Practice Address - Street 1:172 W BADILLO ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-2015
Practice Address - Country:US
Practice Address - Phone:626-966-1818
Practice Address - Fax:626-332-8688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA31764Medicare PIN
CAA84259Medicare UPIN