Doctor Name: | ADHIKARI VARAPRASAD REDDY |
NPI Number: | 1154478030 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 1150 Veterans Blvd Redwood City, CA - 940632037 |
Business Phone Number: | 6502992290 |
Business Fax Number: | |
Mailing Address: | 2025 Woodmont Blvd Apt 232, NASHVILLE |
State: | TN |
Postal Code: | 372151564 |
Phone Number: | 6153648973 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 06/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |