DWARAKNATH PONNALUR REDDY


Address: 811 E 11th St, Suite 208, Upland, CA 91786-4871
Phone: 9096295540

DWARAKNATH PONNALUR REDDY (NPI# 1417964917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417964917
Entity Type Individual
Full Name DWARAKNATH PONNALUR REDDY
Credential M.D.
Practice Address 811 E 11th St
Suite 208
Upland
CA 91786-4871
Practice Telephone 9096295540
Practice Fax Number 9099463070
Mailing Telephone 9096295540
Mailing Fax Number 9099463070
Enumeration Date 2006-08-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
A34093 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A340931 05

Office Location

Street Address 811 E 11TH ST
SUITE 208
City UPLAND
State CA
Zip Code 91786-4871

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780664581 Jonardi Handoko Internal Medicine 811 E 11th St, Ste 206, Upland, CA 91786 2006-01-18
1851748164 Central City Community Hlt Ctr Clinic/Center 811 E 11th St, 203&204, Upland, CA 91786-4871 2016-05-17
1316225436 Romeo Samouh Family Medicine 811 E 11th St, Ste 102, Upland, CA 91786-4871 2011-07-22
1295964815 Angelina Pik Yin Cheng Specialist 811 E 11th St, Suite 102, Upland, CA 91786-4871 2009-07-02
1578762779 Dwaraknath P. Reddy, M.d. Internal Medicine 811 E 11th St, Suite 208, Upland, CA 91786-4871 2007-07-17
1053448290 William B. Mcleod Obstetrics & Gynecology 811 E 11th St, Suite 104, Upland, CA 91786-4871 2007-02-27
1760532071 David Isami Igarashi Pharmacy 811 E 11th St, Suite 201, Upland, CA 91786-4871 2007-01-11
1588739379 Mira Bharat Joshi Pediatrics 811 E 11th St, Ste 102, Upland, CA 91786-4871 2006-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366093254 California Clinics, Inc Physical Medicine & Rehabilitation 818 N Mountain Ave Ste 102, Upland, CA 91786 2019-09-23
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1003386608 Devin A Lockett Counselor 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 2018-11-27
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1346736600 Jennifer Lynn Henshaw Counselor Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 2018-07-10
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1831607332 Sandra Sun Pharmacist 1445 E. Foothill Blvd., Upland, CA 91786 2018-01-18
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386910321 Kevin M Jenkins Do Amc Internal Medicine 944 W Foothill Blvd Ste B, Upland, CA 91786-3757 2012-03-23
1992955272 Dr Kevin M Jenkins Do Inc Internal Medicine 944 W Foothill Blvd, Suite B, Upland, CA 91786 2008-09-24
1730276163 Kevin M Jenkins Internal Medicine 944b W Foothill Blvd Ste B, Upland, CA 91786-3728 2006-10-06
1831299254 Camron Kiafar Internal Medicine 1310 San Bernardino Rd Ste 103, Upland, CA 91786-4985 2006-09-25
1508164211 Sudhir K Reddy Md Inc Internal Medicine 811 E 11th St Ste 208, Upland, CA 91786-4872 2011-03-03
1528398369 M. Mazen Jamal, M.d., Inc. Internal Medicine 1148 San Bernardino Rd, Suite202, Upland, CA 91786-4943 2009-12-29
1356502116 Dalia Ibrahim-abdelaziz Internal Medicine 1310 San Bernardino Rd, Ste 103, Upland, CA 91786-4979 2008-06-24
1710144506 Monica Patel Zeitz Internal Medicine 1 Medical Center Blvd, Acp #231, Upland, PA 19013-3902 2008-05-20
1780862169 Deborah A Negusse Internal Medicine 1310 San Bernardino Rd Ste 103, Upland, CA 91786-4985 2008-02-07
1578762779 Dwaraknath P. Reddy, M.d. Internal Medicine 811 E 11th St, Suite 208, Upland, CA 91786-4871 2007-07-17
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City UPLAND
Zip Code 91786

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Dataset Information

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.

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