| Praful Reddy, Md Pc, Inc | |
|
6918 E Bronco Dr Paradise Valley AZ 85253-3123 | |
| (480) 718-9277 | |
| Not Available |
| Full Name | Praful Reddy, Md Pc, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6918 E Bronco Dr, Paradise Valley, Arizona |
| Authorized Official Name and Position | Praful Reddy (OWNER/PROVIDER) |
| Authorized Official Contact | 4807188927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Praful Reddy, Md Pc, Inc 6918 E Bronco Dr Paradise Valley AZ 85253-3123 Ph: (480) 178-9277 | Praful Reddy, Md Pc, Inc 6918 E Bronco Dr Paradise Valley AZ 85253-3123 Ph: (480) 718-9277 |
| NPI Number | 1154858348 |
|---|---|
| Provider Enumeration Date | 05/18/2017 |
| Last Update Date | 04/18/2018 |
| Medicare PECOS PAC ID | 0345505277 |
|---|---|
| Medicare Enrollment ID | O20180524002159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154858348 | NPI | - | NPPES |
| 167950616 | Other | AZ | PSYCHIATRY & NEUROLOGY |
| 432823 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 26809 (Arizona) | Primary |
| Provider Name | Praful A Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679590616 PECOS PAC ID: 8628098761 Enrollment ID: I20090701000538 |
| Provider Name | Kelly Milton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770882458 PECOS PAC ID: 8729206099 Enrollment ID: I20140828000060 |
| Provider Name | Michaela Ann Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700368685 PECOS PAC ID: 3274935622 Enrollment ID: I20210708001180 |
Stroke And Interventional Neurology Of Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9326 N Cholla Pl, Paradise Valley, AZ 85253 Phone: 480-381-8398 Fax: 480-393-3401 | |
St. Sophie's, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5045 E Cottontail Run Rd, Paradise Valley, AZ 85253 Phone: 701-365-4488 Fax: 701-365-4127 | |
Ally Pediatric Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10595 N Tatum Blvd Ste E146, Paradise Valley, AZ 85253 Phone: 602-606-2237 | |
Ally Pediatric Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10595 N Tatum Blvd Ste E146, Paradise Valley, AZ 85253 Phone: 602-606-2237 Fax: 844-475-2307 | |
Southwest Iom Pro Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6401 E Caron Dr, Paradise Valley, AZ 85253 Phone: 623-293-3985 | |
James S Gough Mdpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 N Invergordon Pl, Paradise Valley, AZ 85253 Phone: 480-614-0333 Fax: 480-614-0222 |