Reddy, Prem
Reddy, Prem is an individual health care provider with primary practice located at 16850 Bear Valley Rd , Victorville CA 92395-5794. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Reddy, Prem can be contacted via phone (760) 241-8000.Contact Information
Primary practice address
16850 Bear Valley Rd
Victorville CA 92395-5794
Phone: (760) 241-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A36292 | California |
Profile Details
| NPI number | 1639120736 |
|---|---|
| LBN Legal business name | Reddy, Prem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1639120736 | NPPES |
| California | MEDICAID | 00A362920 |
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