NPI 1063418630

Moola Prabhakar Reddy, MD

Practitioner Physical Medicine & Rehabilitation Physician Roseville, CA

Practice location

Address: 1528 Eureka Rd STE 103, Roseville, CA 95661-3047
Phone: (916) 772-5325
Fax: (916) 772-6333
Mailing address: 8865 Bella Terra Pl, Granite Bay, CA 95746-8850

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence A36428 (CA)

Other Physical Medicine & Rehabilitation providers in California →

Registry record

NPI: 1063418630
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2005
Record last updated: 3 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.