Bhavananda T Reddy (NPI# 1326130758, PAC ID# 4486600301) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1326130758 |
| PAC ID by PECOS | 4486600301 |
| Professional Enrollment ID | I20120829000344 |
| Full Name | Bhavananda T Reddy |
| Organization Legal Name | GENESIS VASCULAR OF SALT LAKE |
| Address |
6321 S Redwood Rd Suite 102 Taylorsville UT 84123-6799 |
| Phone Number | 8019240848 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 9436434628 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6321 S Redwood Rd, Suite 102, Taylorsville, UT 84123-6799 | 8019240848 | GENESIS VASCULAR OF SALT LAKE |
| Organization Legal Name | GENESIS VASCULAR OF SALT LAKE |
| Physicians | 1 |
| Street Address |
6321 S REDWOOD RD SUITE 102 |
| City | TAYLORSVILLE |
| State | UT |
| Zip | 84123-6799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Dale Johnson | Family Medicine | Jordan Ridge Family Medicine Pllc | 6321 S Redwood Rd, Suite 201, Salt Lake City, UT 84123-6972 |
| Gay Lynn Meyers | Physician Assistant | Jordan Ridge Family Medicine Pllc | 6321 S Redwood Rd, Suite 201, Salt Lake City, UT 84123-6972 |
| David Scott Anderson | Physician Assistant | Jordan Ridge Family Medicine Pllc | 6321 S Redwood Rd, Suite 201, Salt Lake City, UT 84123-6972 |
| Tanya Jean Chesley | Physician Assistant | Jordan Ridge Family Medicine Pllc | 6321 S Redwood Rd, Suite 201, Salt Lake City, UT 84123-6972 |
| Jacob D Erekson | Physical Therapy | Redwood Injury Treatment Center Inc | 6321 S Redwood Rd, Taylorsville, UT 84123-6799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon Randal Young | Podiatry | 4370 S Redwood Rd, Suite B, Taylorsville, UT 84123-2223 | |
| Homer Ronald Brown | Podiatry | 4370 S Redwood Rd, Suite B, Salt Lake City, UT 84123-2223 | |
| Joanie Marie Limb | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Sheri Lynn Schlagel | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Jennifer N Griswold | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Gabriella Dame | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Kearsta Washburn | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Alisha A Richins | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Aubrey Ann Kruisman | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Stephen L Miller | Cardiovascular Disease (cardiology) | Intermountain Heart Center PC | 5292 S College Dr, Suite 201, Murray, UT 84123-2958 |
| Find all physicians in zip 84123 | |||
| City | TAYLORSVILLE |
| Zip Code | 84123 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | TAYLORSVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Bhavananda T Reddy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.