Reddy, Praveen K

Reddy, Praveen K is an individual health care provider with primary practice located at 721 River Dr. Suite B, Fort Bragg CA 95437-5403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Reddy, Praveen K can be contacted via phone (707) 964-6910.

Contact Information

Primary practice address
721 River Dr. Suite B Fort Bragg CA 95437-5403
Phone: (707) 964-6910
Fax: (707) 964-7430
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X C142043 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X H6536 Texas

Profile Details

NPI number 1255301842
LBN Legal business name Reddy, Praveen K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Oct 6th, 2016 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255301842 NPPES
Texas MEDICAID 115606901

Popular Providers