| Dr Vimala T Reddy, MD | |
|
710 N Euclid St Ste 107, Anaheim, CA 92801-4122 | |
| (714) 533-4511 | |
| (714) 778-1016 |
| Full Name | Dr Vimala T Reddy |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 710 N Euclid St Ste 107, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801821855 | NPI | - | NPPES |
| 00A544650 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A54465 (California) | Primary |
| Entity Name | Share Our Selves Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508073685 PECOS PAC ID: 4789854993 Enrollment ID: O20110825000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vimala T Reddy, MD 710 N Euclid St Ste 400, Anaheim, CA 92801-4122 Ph: (714) 517-2100 | Dr Vimala T Reddy, MD 710 N Euclid St Ste 107, Anaheim, CA 92801-4122 Ph: (714) 533-4511 |
Dino A. Imperial, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Lance C. Brunner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Marites Mcmurtrey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Steven Chao, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 408 S Beach Blvd, Suite 106, Anaheim, CA 92804 Phone: 714-995-5471 Fax: 714-995-5815 | |
Edmond K Chu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3055 W Orange Ave Ste 202, Anaheim, CA 92804 Phone: 714-952-0203 Fax: 714-952-1387 | |
Warren U. Wong, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Jeff D. Tracy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 |