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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A34093 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A340931 | 05 |
Street Address |
811 E 11TH ST SUITE 208 |
City | UPLAND |
State | CA |
Zip Code | 91786-4871 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
Find all providers in zip 91786 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
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. |
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 |
Find all providers in UPLAND |
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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.