Reddy, Jagadeesh C

Reddy, Jagadeesh C is an individual health care provider with primary practice located at 31852 Coast Hwy Ste 201, Laguna Beach CA 92651-6765. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Reddy, Jagadeesh C can be contacted via phone (949) 715-0505.

Contact Information

Primary practice address
31852 Coast Hwy Ste 201 Laguna Beach CA 92651-6765
Phone: (949) 715-0505
Fax: (949) 715-0508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A82683 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A82683 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME88635 Florida
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A82683 California

Profile Details

NPI number 1083610703
LBN Legal business name Reddy, Jagadeesh C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 27th, 2012 - about 14 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 1083610703 NPPES
Florida MEDICAID 269550200

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