DR. SRIDHAR KADUMPALLI REDDY (NPI# 1780835447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780835447 |
| Entity Type | Individual |
| Full Name | DR. SRIDHAR KADUMPALLI REDDY |
| Credential | M.D. |
| Practice Address |
12665 Garden Grove Blvd Ste 211 Garden Grove CA 92843-1916 |
| Mailing Address |
3401 N Broad St Internal Medicine Residency Office Philadelphia PA 19140-5103 |
| Practice Telephone | 7146362890 |
| Mailing Telephone | (215) 707-3397 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2017-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A118770 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123938 | Sridhar Patlolla Reddy | Specialist | 2911 Medical Arts St, Ste 9, Austin, TX 78705-3302 | 2005-06-09 |
| 1669817987 | Sridhar M Reddy | Internal Medicine | 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811 | 2013-04-30 |
| 1326365487 | Sridhar Padala Reddy | Internal Medicine | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2010-04-29 |
| 1033268040 | Sridhar V Reddy | Internal Medicine | 2920 N Cascade Ave, 2nd Floor, Colorado Springs, CO 80907-6262 | 2007-01-09 |
| Street Address |
12665 GARDEN GROVE BLVD STE 211 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902875693 | Herbert S. Tiquia | Internal Medicine | 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 | 2006-03-15 |
| 1487623724 | Ramani Nathan | Internal Medicine | 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 | 2006-03-17 |
| 1154390425 | Steve Bui | Internal Medicine | 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 | 2006-03-17 |
| 1770552978 | Russell L. Ness | Internal Medicine | 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1245421353 | Hong S. Kim, M.d., Inc | Internal Medicine | 12665 Garden Grove Blvd Ste 503, Garden Grove, CA 92843-1919 | 2007-08-05 |
| 1508885625 | Thanh Minh Nguyen | Internal Medicine | 8919 Westminster Ave, Garden Grove, CA 92844-2609 | 2006-07-19 |
| 1558326694 | Dae-choong Kim | Internal Medicine | 8862 Garden Grove Blvd, 102, Garden Grove, CA 92844-1262 | 2006-04-20 |
| 1902875693 | Herbert S. Tiquia | Internal Medicine | 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 | 2006-03-15 |
| 1619964368 | Minh Canh Do | Internal Medicine | 14441 Brookhurst St, Ste 6, Garden Grove, CA 92843-4646 | 2005-09-28 |
| 1952302564 | An Quoc Dang | Internal Medicine | 13872 Harbor Blvd, Unit 1c, Garden Grove, CA 92843-4000 | 2005-08-04 |
| 1336316264 | Jason J Pang Md Inc | Internal Medicine | 11039 Acacia Pkwy, Garden Grove, CA 92840-5126 | 2008-05-09 |
| 1346420783 | Orange County Vascular Access, A Medical Corporation | Internal Medicine | 12555 Garden Grove Blvd, Ste 200, Garden Grove, CA 92843-1902 | 2007-11-13 |
| 1205934783 | Southern California Kidney Consultants Inc. | Internal Medicine | 12665 Garden Grove Blvd, Ste 211, Garden Grove, CA 92843-1901 | 2006-09-20 |
| 1487623724 | Ramani Nathan | Internal Medicine | 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 | 2006-03-17 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
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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.