Dwaraknath Ponnalur Reddy in Upland - Gastroenterology
Dwaraknath Ponnalur Reddy - NPI 1417964917
Dwaraknath Ponnalur Reddy is a Gastroenterology in Upland, California. Dwaraknath Ponnalur Reddy practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Dwaraknath Ponnalur Reddy is 1417964917. The last update date is 2007-07-08.
Dwaraknath Ponnalur Reddy's current location address is 811 E 11th St, Upland, California. You can contact this provider via phone number 9096295540 and fax number 9099463070. The mailing address for Dwaraknath Ponnalur Reddy is 811 E 11th St, Upland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwaraknath Ponnalur Reddy |
|---|---|
| Address | 811 E 11th St, Upland, California |
| Phone Number | 9096295540 |
| Fax Number | 9099463070 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417964917 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 811 E 11th St |
|---|---|
| City | Upland |
| State | California (CA) |
| Post Code | 917864871 |
| Phone Number | 9096295540 |
| Fax Number | 9099463070 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | A34093 |
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Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A340931 | CA | -- |
Post Comment/ Review Below
What is the Dwaraknath Ponnalur Reddy's 1417964917?
The Dwaraknath Ponnalur Reddy's NPI (National Provider Identifier) Number is 1417964917. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dwaraknath Ponnalur Reddy located?
The Dwaraknath Ponnalur Reddy is located at 811 E 11Th St, Upland, CA 917864871.
What is the Dwaraknath Ponnalur Reddy's area of specialization and corresponding taxonomy classification?
The Dwaraknath Ponnalur Reddy's specialty field is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1417964917 to Dwaraknath Ponnalur Reddy?
The Dwaraknath Ponnalur Reddy received its 1417964917 assignment from the Centers for Medicare & Medicaid Services on 2006-08-01.
As of what date were the Dwaraknath Ponnalur Reddy's details last updated?
The information pertaining to the Dwaraknath Ponnalur Reddy, including its address, specialty, and other details, was most recently updated on 2007-07-08.