Reddy, Bhaskara G
Reddy, Bhaskara G is an individual health care provider with primary practice located at 8170 Laguna Blvd #101, Elk Grove CA 95758-7901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reddy, Bhaskara G can be contacted via phone (916) 691-5915.Contact Information
Primary practice address
8170 Laguna Blvd #101
Elk Grove CA 95758-7901
Phone: (916) 691-5915
Fax: (916) 691-5916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A34089 | California |
Profile Details
| NPI number | 1689772071 |
|---|---|
| LBN Legal business name | Reddy, Bhaskara G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jun 1st, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689772071 | NPPES |
| California | MEDICAID | 00A340890 |
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