# KURUGANTI R. REDDY M.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kuruganti R. Reddy M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578757969
- **Authorized official:** DR. KURUGANTI R REDDY SR. M.D. (OWNER)
- **Authorized official phone:** (626) 331-8202

## Contact information

- **Practice address:** 530 W BADILLO ST, STE B, COVINA, CA 91722-3787
- **Practice address phone:** (626) 331-8202
- **Practice address fax:** (626) 339-8176
- **Mailing address:** 530 W BADILLO ST STE B, COVINA, CA 91722-3787
- **Mailing address phone:** (626) 331-8202
- **Mailing address fax:** (626) 339-8176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 08/29/2007