PRAFUL ANUGU REDDY (NPI# 1679590616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679590616 |
| Entity Type | Individual |
| Full Name | PRAFUL ANUGU REDDY |
| Credential | MD |
| Practice Address |
6677 W Thunderbird Rd Ste D148 Glendale AZ 85306-3769 |
| Practice Telephone | (602) 843-3811 |
| Practice Fax Number | 6028430044 |
| Mailing Telephone | 6028433811 |
| Mailing Fax Number | 6028430044 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 26809 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
26809 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 432823 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11851 N 51st Ave, Suite E130, Glendale, AZ 853042809 | 6239723800 | 6239721089 |
| Street Address |
6677 W THUNDERBIRD RD STE D148 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-3769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720041114 | Michael A Epstein | Psychiatry & Neurology | 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306-3769 | 2006-04-08 |
| 1194330266 | Sarah Yassin | Clinical Neuropsychologist | 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306-3769 | 2020-09-15 |
| 1023338423 | Eric W Johnson | Psychologist | 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306 | 2010-06-08 |
| 1548223936 | David A Bliklen | Psychiatry & Neurology | 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306-3769 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| 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 |
|---|---|---|---|---|
| 1407236466 | Southern California Neurology Medical Group, Inc. | Psychiatry & Neurology | 416 E Colorado St Ste A, Glendale, CA 91205-5100 | 2015-06-04 |
| 1649519588 | Vahe Akopian | Psychiatry & Neurology | 1451 E Chevy Chase Dr Ste 201, Glendale, CA 91206 | 2013-02-13 |
| 1902063837 | Maya Vaysbrot | Psychiatry & Neurology | 20325 N. 51st. Ave., Suite 160, Glendale, AZ 85308-4622 | 2008-05-19 |
| 1174638811 | Taufiq M Azamy | Psychiatry & Neurology | 88-66 Myrtle Ave, Glendale, NY 11385 | 2006-08-21 |
| 1609889948 | Naveed Vehra | Psychiatry & Neurology | 18275 N 59th Ave Bldg H146, Glendale, AZ 85308-1260 | 2006-08-15 |
| 1932118262 | Robert Michael Hutchman | Psychiatry & Neurology | 517 E Wilson Ave Ste 103b, Glendale, CA 91206-4376 | 2006-08-05 |
| 1720041114 | Michael A Epstein | Psychiatry & Neurology | 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306-3769 | 2006-04-08 |
| 1275528713 | Mohamed Elkotb | Psychiatry & Neurology | 5130 W Thunderbird Rd, Suite 03, Glendale, AZ 85306-4879 | 2005-09-12 |
| 1891348793 | Mikayel Grigoryan Md Inc | Psychiatry & Neurology | 1451 E Chevy Chase Dr Ste 201, Glendale, CA 91206-4056 | 2019-07-19 |
| 1407371081 | Vahe Akopian Md Inc | Psychiatry & Neurology | 416 E Colorado St Ste A, Glendale, CA 91205-5100 | 2017-08-04 |
| Find all providers in GLENDALE | ||||
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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.