Individual
BHASKARA G REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8170 LAGUNA BLVD, #101, ELK GROVE, CA 95758-7901
(916) 691-5915
(916) 691-5916
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A34089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A340890
—
CA
Enumeration date
09/20/2006
Last updated
06/01/2015
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