Provider Demographics
NPI:1114773777
Name:BANDI, DEEPIKA REDDY (MD)
Entity type:Individual
Prefix:MS
First Name:DEEPIKA
Middle Name:REDDY
Last Name:BANDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BUTTE STREET
Mailing Address - Street 2:ATTN INTERNAL MEDICINE RESIDENCY PROGRAM
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001
Mailing Address - Country:US
Mailing Address - Phone:832-764-4598
Mailing Address - Fax:
Practice Address - Street 1:100 BUTTE STREET
Practice Address - Street 2:ATTN INTERNAL MEDICINE RESIDENCY PROGRAM
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001
Practice Address - Country:US
Practice Address - Phone:530-244-5400
Practice Address - Fax:530-244-5494
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-25
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty