KADITAM V REDDY, M.D., INC. (NPI# 1104369552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104369552 |
| Entity Type | Organization |
| Organization Name | KADITAM V REDDY, M.D., INC. |
| Other Organization Name | KADITAM V. REDDY, M.D. |
| Practice Address |
227 W Janss Rd Ste 350 Thousand Oaks CA 91360-1881 |
| Practice Telephone | 8059185008 |
| Practice Fax Number | 8885873339 |
| Mailing Telephone | 8059185008 |
| Mailing Fax Number | 8885873339 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | DR. KADITAM V REDDY (PRESIDENT) |
| Authorized Official Telephone | 8059185008 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A70245 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kaditam V. Reddy, M.D. | Doing Business As Name - Organization |
| Street Address |
227 W JANSS RD STE 350 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-1881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770584245 | Kaditam V Reddy | Psychiatry & Neurology | 227 W Janss Rd Ste 350, Thousand Oaks, CA 91360-1881 | 2005-08-09 |
| 1689167553 | Westlake Revive | Home Health | 227 W Janss Rd Ste 350, Thousand Oaks, CA 91360 | 2018-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
| 1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
| 1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
| 1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
| 1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
| 1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
| 1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
| 1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
| Find all providers in zip 91360 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689975443 | Kolar N. Murthy, M.d., Inc. | Psychiatry & Neurology | 2220 Lynn Rd Ste 300, Thousand Oaks, CA 91360-8041 | 2010-11-10 |
| 1750503603 | Brain Longevity Center | Psychiatry & Neurology | 2100 Lynn Rd Ste 230, Thousand Oaks, CA 91360-8035 | 2007-05-02 |
| 1053469072 | Dolly Banerjee Roy | Psychiatry & Neurology | 100 Moody Ct Ste 100, Thousand Oaks, CA 91360-6096 | 2007-01-08 |
| 1851407688 | Liliana Cohen | Psychiatry & Neurology | 227 W Janss Rd Ste 135, Thousand Oaks, CA 91360-1857 | 2006-08-22 |
| 1215953476 | Mahyar Okhovat | Psychiatry & Neurology | 415 Rolling Oaks Dr Ste 110, Thousand Oaks, CA 91361-1030 | 2006-07-14 |
| 1881641033 | Gudarz Davar | Psychiatry & Neurology | Amgen - One Amgen Center Drive, Mail Stop 38-3-b, Thousand Oaks, CA 91320 | 2006-05-30 |
| 1073580999 | David Frank Cobasko | Psychiatry & Neurology | 555 Marin St., Suite 200, Thousand Oaks, CA 91360 | 2006-03-01 |
| 1841262193 | Lorne Sheldon Label | Psychiatry & Neurology | 2100 Lynn Rd, Ste 230, Thousand Oaks, CA 91360 | 2006-02-02 |
| 1770584245 | Kaditam V Reddy | Psychiatry & Neurology | 227 W Janss Rd Ste 350, Thousand Oaks, CA 91360-1881 | 2005-08-09 |
| 1740640051 | Venkat Raghav Aachi | Psychiatry & Neurology | 227 W Janss Rd Ste 125, Thousand Oaks, CA 91360-1856 | 2016-02-29 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
Please comment or provide details below to improve the information on KADITAM V REDDY, M.D., INC..
| 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.