Deepica Ganta Reddy in Jacksonville - Internal Medicine

Deepica Ganta Reddy - NPI 1841262318

Deepica Ganta Reddy is a Internal Medicine in Jacksonville, Florida. Deepica Ganta Reddy practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Deepica Ganta Reddy is 1841262318. The last update date is 2023-10-30.

Deepica Ganta Reddy's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Deepica Ganta Reddy is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Deepica Ganta Reddy
Address 4500 San Pablo Rd S, Jacksonville, Florida
Phone Number 9049532000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1841262318
Provider Enumeration Date 2006-02-07
Last Updated Date 2023-10-30

Provider Mailing Address Detail

Address 4500 San Pablo Rd S
City Jacksonville
State Florida (FL)
Post Code 322241865
Phone Number 9049532000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME95186
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00790301 FL RAILROAD MEDICARE
274831200 FL --

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FAQs about Deepica Ganta Reddy

What is the unique 10-digit identifier code assigned to Deepica Ganta Reddy by the Centers for Medicare & Medicaid Services?

The Deepica Ganta Reddy has been issued the NPI (National Provider Identifier) 1841262318 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Deepica Ganta Reddy?

The Deepica Ganta Reddy is situated at 4500 San Pablo Rd S, in the city of Jacksonville, state of FL, with the zip code 322241865.

What is Deepica Ganta Reddy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Deepica Ganta Reddy is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1841262318 to Deepica Ganta Reddy?

The Centers for Medicare & Medicaid Services originally issued the 1841262318 to Deepica Ganta Reddy on 2006-02-07.

When was the information regarding Deepica Ganta Reddy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Deepica Ganta Reddy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-10-30.

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