Reddy, Radha Thiruvengadam
Reddy, Radha Thiruvengadam is an individual health care provider with primary practice located at 820 Deep Springs Dr , Claremont CA 91711-1448. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Reddy, Radha Thiruvengadam can be contacted via phone (909) 561-6627.Contact Information
Primary practice address
820 Deep Springs Dr
Claremont CA 91711-1448
Phone: (909) 561-6627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 69719 | Tennessee |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 58763 | Kentucky |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | A89463 | California |
Profile Details
| NPI number | 1780652073 |
|---|---|
| LBN Legal business name | Reddy, Radha Thiruvengadam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Apr 17th, 2024 - about 7 months 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 | 1780652073 | NPPES |
| California | MEDICAID | 00A894630 |
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