Jeereddi, Prasad Anjaneya

Jeereddi, Prasad Anjaneya is an individual health care provider with primary practice located at 1904 N Orange Grove Ave , Pomona CA 91767-3008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Jeereddi, Prasad Anjaneya can be contacted via phone (909) 469-1823.

Contact Information

Primary practice address
1904 N Orange Grove Ave Pomona CA 91767-3008
Phone: (909) 469-1823
Fax: (909) 469-1827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A32129 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A32129 California

Profile Details

NPI number 1821058470
LBN Legal business name Jeereddi, Prasad Anjaneya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Sep 13th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821058470 NPPES
California MEDICAID 00A321290

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