ARJUN TUDI REDDY (NPI# 1043833957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043833957 |
| Entity Type | Individual |
| Full Name | ARJUN TUDI REDDY |
| Credential | MD, MBA |
| Practice Address |
12664 Chapman Ave Unit 1218 Garden Grove CA 92840-4030 |
| Mailing Address |
16 Tremore Way Holland OH 43528-9108 |
| Practice Telephone | 9728355991 |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730132457 | Arjun N Reddy | Internal Medicine | 5129 Garfield St, La Mesa, CA 91941 | 2006-05-17 |
| 1033371901 | Arjun Chenna Reddy | Anesthesiology | 221 Mahalani St, Wailuku, HI 96793-2526 | 2008-07-01 |
| Street Address |
12664 CHAPMAN AVE UNIT 1218 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761962 | Adrienne Jan | Student in an Organized Health Care Education/Training Program | 12432 9th St, Garden Grove, CA 92840-3539 | 2020-08-17 |
| 1376155895 | Harold Huan Nguyen | Student in an Organized Health Care Education/Training Program | 12953 Lily St, Garden Grove, CA 92840-6226 | 2020-08-17 |
| 1891307369 | May Truc-van Tran | Student in an Organized Health Care Education/Training Program | 13412 Kerry St, Garden Grove, CA 92844-2417 | 2020-08-17 |
| 1174135628 | Yen-nhu Dinh Bui | Student in an Organized Health Care Education/Training Program | 9732 Oasis Ave, Garden Grove, CA 92844-3029 | 2020-08-17 |
| 1396361531 | Aitam Duong | Student in an Organized Health Care Education/Training Program | 10632 Morningside Dr, Garden Grove, CA 92843-4903 | 2020-06-23 |
| 1518596568 | Jenny Le | Student in an Organized Health Care Education/Training Program | 8651 Gloria Ave Apt B, Garden Grove, CA 92844-1944 | 2020-04-02 |
| 1063993152 | Danny Hieu Pham | Student in an Organized Health Care Education/Training Program | 12691 Jackson St, Garden Grove, CA 92841-4437 | 2018-08-27 |
| 1609356328 | Nolan Nguyen | Student in an Organized Health Care Education/Training Program | 12291 Tamerlane Dr, Garden Grove, CA 92840-3917 | 2018-08-21 |
| 1750817128 | Vincent T Nguyen | Student in an Organized Health Care Education/Training Program | 9291 Melba Dr, Garden Grove, CA 92841-1212 | 2017-05-04 |
| 1659803617 | Johnny M Kim | Student in an Organized Health Care Education/Training Program | 6772 Park Ave, Garden Grove, CA 92845-2928 | 2017-03-29 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
Please comment or provide details below to improve the information on ARJUN TUDI REDDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.