Surender Reddy Edla in Etters - Family Medicine
Surender Reddy Edla - NPI 1245263524
Surender Reddy Edla is a Family Medicine in Etters, Pennsylvania. Surender Reddy Edla practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Surender Reddy Edla is 1245263524. The last update date is 2021-09-03.
Surender Reddy Edla's current location address is 1790 Old Trail Rd, Etters, Pennsylvania. You can contact this provider via phone number 7179386588 and fax number 7179389601. The mailing address for Surender Reddy Edla is 1790 Old Trail Rd, Etters, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Surender Reddy Edla |
|---|---|
| Address | 1790 Old Trail Rd, Etters, Pennsylvania |
| Phone Number | 7179386588 |
| Fax Number | 7179389601 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245263524 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2021-09-03 |
Provider Mailing Address Detail
| Address | 1790 Old Trail Rd |
|---|---|
| City | Etters |
| State | Pennsylvania (PA) |
| Post Code | 173199652 |
| Phone Number | 7179386588 |
| Fax Number | 7179389601 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 101239065 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101677202 0001 | PA | -- | |
| 7977899 | PA | AETNA | |
| 102470 | PA | GEISINGER | |
| 889580 | MD | CAREFIRST MD BCBS | |
| 187920 | PA | UNISON-WMG | |
| 1879312 | PA | HIGHMARK BLUE SHIELD | |
| 2157513 | PA | MAMSI-WMG | |
| 50061854 | PA | CAPITAL BLUE CROSS-WMG | |
| 50083184 | PA | CAPITAL BLUE CROSS-WMG WFM | |
| P006944 | PA | GATEWAY-WMG |
Post Comment/ Review Below
What is the unique provider identifier assigned to Surender Reddy Edla?
The Surender Reddy Edla has been issued the NPI (National Provider Identifier) 1245263524 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Surender Reddy Edla?
The Surender Reddy Edla is situated at 1790 Old Trail Rd, in the city of Etters, state of PA, with the zip code 173199652.
What is Surender Reddy Edla's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Surender Reddy Edla is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245263524 to Surender Reddy Edla?
The Surender Reddy Edla received its 1245263524 assignment from the Centers for Medicare & Medicaid Services on 2006-07-09.
When was the information pertaining to Surender Reddy Edla most recently updated or revised?
The details related to Surender Reddy Edla, including its address, specialty, and other relevant information, were last updated or revised on 2021-09-03.
NPI Number: 1376546309
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