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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083610703 | NPPES |
| Florida | MEDICAID | 269550200 |
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