Individual
VINAY MOOLA REDDY
Active
Individual
VINAY MOOLA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
00A63460
CA
208VP0000X
Pain Medicine Physician
A63460
CA
208VP0014X
Interventional Pain Medicine Physician
A63460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-0221101
CIGNA
CA
01
—
20-0221101
BLUE SHIELD
—
01
—
200221101
TAX ID#
CA
01
—
P00148938
RAILROAD MEDICARE
CA
Enumeration date
06/14/2006
Last updated
06/11/2019
Update your record
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