| C B Reddy PC | |
|
9413 Flatlands Ave Suite 101w Brooklyn NY 11236-3726 | |
| (718) 257-6615 | |
| Not Available |
| Full Name | C B Reddy PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 9413 Flatlands Ave, Brooklyn, New York |
| Authorized Official Name and Position | Chenna Reddy (PRESIDENT) |
| Authorized Official Contact | 7182576615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C B Reddy PC 9413 Flatlands Ave Suite 101w Brooklyn NY 11236-3726 | C B Reddy PC 9413 Flatlands Ave Suite 101w Brooklyn NY 11236-3726 Ph: (718) 257-6615 |
| NPI Number | 1215200589 |
|---|---|
| Provider Enumeration Date | 02/17/2012 |
| Last Update Date | 02/17/2012 |
| Medicare PECOS PAC ID | 8527222504 |
|---|---|
| Medicare Enrollment ID | O20120605000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215200589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Lalitha M Reddy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487754693 PECOS PAC ID: 8224292206 Enrollment ID: I20120605000140 |
| Provider Name | Chenna B Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679640650 PECOS PAC ID: 8325226723 Enrollment ID: I20120605000171 |
| Provider Name | Arthi Chenna Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760663363 PECOS PAC ID: 1254517105 Enrollment ID: I20141125000180 |
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