Provider Demographics
NPI:1407529902
Name:GEEDIPALLY, HANISHA JYOSITA REDDY (MD)
Entity type:Individual
Prefix:
First Name:HANISHA
Middle Name:JYOSITA REDDY
Last Name:GEEDIPALLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:39300 CIVIC CENTER DR STE 370
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2397
Mailing Address - Country:US
Mailing Address - Phone:510-248-1000
Mailing Address - Fax:
Practice Address - Street 1:33077 ALVARADO NILES RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3109
Practice Address - Country:US
Practice Address - Phone:510-248-1500
Practice Address - Fax:510-675-0846
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA195443207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine