DR. SURAJ GOPAL REDDY (NPI# 1740485275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740485275 |
| Entity Type | Individual |
| Full Name | DR. SURAJ GOPAL REDDY |
| Credential | M.D. |
| Practice Address |
5310 Homestead Rd Ne Suite 301 Albuquerque NM 87110-1437 |
| Practice Telephone | 5058724700 |
| Practice Fax Number | 5058724709 |
| Mailing Telephone | 5058724700 |
| Mailing Fax Number | 5058724709 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2011-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD2007-0565 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDIARE RR | 9537161 | 01 |
| NM | BCBS | NM300836 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538379805 | Suraj Reddy | Radiology | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2007-05-23 |
| Street Address |
5310 HOMESTEAD RD NE SUITE 301 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194710442 | Sky B Connolly | Dermatology | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 | 2005-09-13 |
| 1518403492 | Pamela O Moore | Counselor | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1437 | 2017-01-16 |
| 1184096190 | Gary Lee Joseph Giron | Counselor | 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 | 2015-10-29 |
| 1821467374 | Erica A Montoya | Counselor | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1437 | 2015-09-15 |
| 1306238324 | Tree of Life Massage and Wellness LLC | Massage Therapist | 5310 Homestead Rd Ne, Suite 202a, Albuquerque, NM 87110-1437 | 2015-02-27 |
| 1376739052 | Teri M Rolan | Pharmacist | 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 | 2007-09-17 |
| 1316079973 | Carol Lynn Hunter | Nurse Practitioner | 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 | 2007-03-09 |
| 1639218639 | Shilpa Gopal Reddy | Specialist | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 | 2007-02-06 |
| 1790886240 | Robert Campbell Jones | Chiropractor | 5310 Homestead Rd Ne, Bldg 400, Albuquerque, NM 87110-1437 | 2006-09-26 |
| 1235238387 | Aaron Bernd Kaufman | General Practice | 5310 Homestead Rd Ne, Bldg 400, Albuquerque, NM 87110-1437 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639726920 | Ribera Healthcare | Dermatology | 6341 Riverside Plaza Ln Nw Ste A-1, Albuquerque, NM 87120-2646 | 2019-08-21 |
| 1497910848 | Rio Grande Dermatology, PC | Dermatology | 4545 Alameda Blvd Ne, Suite G, Albuquerque, NM 87113-1591 | 2008-07-25 |
| 1669692521 | Alan Charles Blaugrund | Dermatology | 321 Big Horn Ridge Dr Ne, Albuquerque, NM 87122-1454 | 2007-04-25 |
| 1598804502 | Monica Maria Romero | Dermatology | 6200 Uptown Blvd Suite 410, Dermatology & Skin Cancer Center of Nm, Albuquerque, NM 87110 | 2007-02-06 |
| 1700925740 | Amanda Coker Harper | Dermatology | 7520 Montgomery Blvd Ne Bldg D4, Albuquerque, NM 87109-1533 | 2007-02-06 |
| 1154652295 | David Michael Melamed | Dermatology | 5401 Lomas Blvd Ne, Suite B, Albuquerque, NM 87110-6457 | 2006-11-02 |
| 1295821098 | Janice F Moranz | Dermatology | 6409 A Candelaria Ne, Albuquerque, NM 87110 | 2006-10-05 |
| 1174636427 | Eduardo Humberto Tschen | Dermatology | 1203 Coal Ave Se, Albuquerque, NM 87106-5239 | 2006-08-17 |
| 1912917485 | Donald D. Harville | Dermatology | 8200 Constitution Pl Ne, Albuquerque, NM 87110-7656 | 2006-08-08 |
| 1255395836 | James Wendall Robison | Dermatology | 5601 Planeta Ct Ne, Albuquerque, NM 87111-1416 | 2006-04-12 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on DR. SURAJ GOPAL REDDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.