Reddy, Nagendra Prasad
Reddy, Nagendra Prasad is an individual health care provider with primary practice located at 894 E 3900 S #B, Salt Lake City UT 84107-2151. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Reddy, Nagendra Prasad can be contacted via phone (866) 500-7071.Contact Information
Primary practice address
894 E 3900 S #B
Salt Lake City UT 84107-2151
Phone: (866) 500-7071
Fax: (866) 500-7081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2005020847 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 6369024-1205 | Utah |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 6369024-1205 | Utah |
Profile Details
| NPI number | 1053372177 |
|---|---|
| LBN Legal business name | Reddy, Nagendra Prasad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Mar 26th, 2015 - about 9 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 | 1053372177 | NPPES |
| Utah | Other | 6369024-1205 | UTAH DOPL |
| Utah | Other | 6369024-8905 | UTAH DOPL |
| Utah | MEDICAID | 208331801 | UTAH DOPL |
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