| Vijayalakshmi Reddy Md Llc | |
|
821 N Eutaw St Ste 312 Baltimore MD 21201-4648 | |
| (410) 225-4455 | |
| (410) 462-5079 |
| Full Name | Vijayalakshmi Reddy Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 821 N Eutaw St, Baltimore, Maryland |
| Authorized Official Name and Position | Louise Macy (BILLING MGR) |
| Authorized Official Contact | 4109983920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vijayalakshmi Reddy Md Llc 10320 Castlefield St Ellicott City MD 21042-5865 Ph: (443) 794-6871 | Vijayalakshmi Reddy Md Llc 821 N Eutaw St Ste 312 Baltimore MD 21201-4648 Ph: (410) 225-4455 |
| NPI Number | 1013122035 |
|---|---|
| Provider Enumeration Date | 05/12/2007 |
| Last Update Date | 02/02/2012 |
| Medicare PECOS PAC ID | 1759375512 |
|---|---|
| Medicare Enrollment ID | O20040413001705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013122035 | NPI | - | NPPES |
| 124800601 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D47644 (Maryland) | Primary |
| Provider Name | Vijayalaksami Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992869572 PECOS PAC ID: 9032103809 Enrollment ID: I20041220000899 |
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