Ganga Durga Bhavani Rednam, MD

Student in an Organized Health Care Education/Training Program in Baltimore, MD. Individual provider (NPI-1).

NPI number1154584209

StatusActive

Last updated in NPPESJul 9, 2008

Details

NPI: 1154584209
Entity type: Individual (NPI-1)
Name: Ganga Durga Bhavani Rednam
Credential: MD
Sex: Female
Sole proprietor: Yes
Enumeration date: Jul 9, 2008
Last updated: Jul 9, 2008

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	–	–	Yes

Practice location

3001 S Hanover St
Baltimore, MD 21225-1233

Phone 410-350-3565

Mailing address

3001 S Hanover St
Baltimore, MD 21225-1233

Phone 410-350-3565

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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