VIJAY GOPAL REDDY PEDDAREDDIGARI (NPI# 1538248372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538248372 |
| Entity Type | Individual |
| Full Name | VIJAY GOPAL REDDY PEDDAREDDIGARI |
| Credential | MD |
| Practice Address |
3400 Spruce Street Philadelphia PA 77210-4439 |
| Practice Telephone | 2156155858 |
| Practice Fax Number | 2153498144 |
| Mailing Telephone | 2156155858 |
| Mailing Fax Number | 2153498144 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2013-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
MD428125 | PA | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD428125 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
3400 SPRUCE STREET |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 77210-4439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620296 | Anne M Foley | Nurse Practitioner | 3400 Spruce Street, 4 Silverstein, Philadelphia, PA 19104-4206 | 2005-06-23 |
| 1063023349 | Judith Christina Rivera | Nurse Practitioner | 3400 Spruce Street, Cicu F11, Philadelphia, PA 19104-4238 | 2020-08-11 |
| 1457970451 | Tyler J York | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 4 Maloney - Surgery Education Office, Philadelphia, PA 19104 | 2020-04-10 |
| 1811532088 | Madeleine Liu Rutledge | Nurse Practitioner | 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104 | 2019-11-12 |
| 1497397160 | Brittany Nichol Moses | Physician Assistant | 3400 Spruce Street, Rhoads 5, Philadelphia, PA 19104 | 2019-10-14 |
| 1477106011 | Courtney Condit | Genetic Counselor, MS | 3400 Spruce Street, 5 Silverstein, Suite 5100, Philadelphia, PA 19104 | 2019-07-23 |
| 1275096745 | Dallas Argueso | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-04-10 |
| 1720548837 | Alisha Jamil | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-24 |
| 1023578507 | Erin Killingsworth Mcminn | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 1 West Gates, Philadelphia, PA 19104 | 2019-03-21 |
| 1932669694 | Rosa Speranza | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 1 W. Gates, Philadelphia, PA 19104 | 2019-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609291624 | Brandi Mccall | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77210-4439 | 2014-02-27 |
| 1801040258 | Amanda Alig Roslyn | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77210-4439 | 2008-11-12 |
| 1053347146 | Jane Ann Onufer | Specialist | 1515 Holcombe Blvd, Houston, TX 77210-4439 | 2006-06-23 |
| 1114907789 | Bruce D Minsky | Radiology | 1515 Holcombe Blvd, Houston, TX 77210-4439 | 2006-01-19 |
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| 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 |
|---|---|---|---|---|
| 1144590266 | William E Barry | Internal Medicine | 508 Penny Ln, Philadelphia, PA 19111-1200 | 2012-01-05 |
| 1528292711 | Holleh Daria Husseinzadeh | Internal Medicine | 1015 Chestnut St Ste 1321, Philadelphia, PA 19107-4313 | 2009-05-04 |
| 1730126582 | Phyllis Jane Sabol | Internal Medicine | 1856 Arthur St, Philadelphia, PA 19152 | 2006-06-01 |
| 1669464327 | Linda A. Haegele | Internal Medicine | 9600 Roosevelt Blvd Ste 301, Physician Oncology, Ltd, Philadelphia, PA 19115 | 2005-08-18 |
| 1063032530 | Monique Maria Tee | Internal Medicine | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-24 |
| 1891339297 | Stc Pediatrics LLC | Internal Medicine | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-30 |
| 1629550561 | Temple Faculty Practice Plan Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1497003487 | Farzana Sayani | Internal Medicine | 3400 Spruce St, 3 Dulles, Philadelphia, PA 19104-4206 | 2012-08-22 |
| 1922386317 | Nadia Dawn Ali | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2011-08-02 |
| 1518291905 | Ralph Robert Vassallo Jr. | Internal Medicine | 700 Spring Garden St, Philadelphia, PA 19123-3508 | 2009-10-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 77210 |
Please comment or provide details below to improve the information on VIJAY GOPAL REDDY PEDDAREDDIGARI.
| 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.