| Bhavananda T Reddy, MD | |
|
444 W Bourne Cir Ste 200, Farmington, UT 84025 | |
| (801) 776-0174 | |
| (801) 825-3904 |
| Full Name | Bhavananda T Reddy |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 39 Years |
| Location | 444 W Bourne Cir Ste 200, Farmington, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326130758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 6341978-1205 (Utah) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 59599 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yavapai Regional Medical Center | Prescott, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cardiojost Inc | 2062429913 | 18 |
| Entity Name | Cardiojost Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023122843 PECOS PAC ID: 2062429913 Enrollment ID: O20060317000050 |
| Entity Name | Northwest Allied Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003833179 PECOS PAC ID: 7618972514 Enrollment ID: O20060928000110 |
| Entity Name | Northwest Cardiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154642056 PECOS PAC ID: 6608991526 Enrollment ID: O20100916000024 |
| Entity Name | Southwest Cardiovascular Interventional Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1588203723 PECOS PAC ID: 8224458443 Enrollment ID: O20201008003040 |
| Mailing Address | Practice Location Address |
|---|---|
| Bhavananda T Reddy, MD 444 W Bourne Cir Ste 200, Farmington, UT 84025-3657 Ph: (801) 397-3000 | Bhavananda T Reddy, MD 444 W Bourne Cir Ste 200, Farmington, UT 84025 Ph: (801) 776-0174 |
Stephanie L Olsen, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-825-3904 | |
Dr. Roja R Mulamalla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-825-3904 | |
Christopher Y Kim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0176 Fax: 801-825-3904 | |
Chad B Mcbride, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-825-3904 | |
Daniel J Humiston, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-825-3904 | |
Sandeep Talwar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-825-3904 |