Dr. Shankari S Reddy, M.D.
Family Medicine in Represa, CA. Individual provider (NPI-1).
NPI number1902810799
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1902810799
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shankari S Reddy
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A85268 | CA | Yes |
Practice location
Folsom State Prison300 Prison Rd
Represa, CA 95671-0001
Phone 916-985-2561
Mailing address
3717 Gibbons PkwyCarmichael, CA 95608-2237
Phone 916-570-3420
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