Provider Demographics
NPI:1932368032
Name:REDDY, RAKHAL MURALIMOHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAKHAL
Middle Name:MURALIMOHAN
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 1:3206 BORDEAUX DR
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-4166
Mailing Address - Country:US
Mailing Address - Phone:773-727-3590
Mailing Address - Fax:
Practice Address - Street 1:3206 BORDEAUX DR
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-4166
Practice Address - Country:US
Practice Address - Phone:773-727-3590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC157806208000000X
IL036.120898208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics