Individual
ARCHANA P. REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6820
(209) 468-6103
Mailing address
6196 TRACEL DR, SAN JOSE, CA 95129-4761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085553
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
C54793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
478704510
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
AR085553
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
10/27/2020
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