Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
MR. MADHUSUDAN REDDY P.A.-C
NPI 1972619146
Physician Assistant - Surgical in Oakland, CA
Active since August 21, 2006
3300 WEBSTER ST, SUITE 500, OAKLAND, CA 94609(510) 465-6600(510) 839-0806 Get Directions Write a Review
About Mr. Madhusudan Reddy P.a.-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MADHUSUDAN REDDY P.A.-C (NPI 1972619146) is an individual surgical provider in Oakland, California, licensed in California (PA 17823) and active in the NPI registry since August 2006.
NPPES Registry Identity
NPI1972619146
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MADHUSUDAN REDDYCredential: P.A.-C
Location Address3300 WEBSTER ST, SUITE 500Oakland, CA 94609-3117
Mailing Address3300 Webster St, Suite 500Oakland, CA 94609-3117 · (510) 465-6600 · Fax (510) 839-0806
Phone(510) 465-6600
Fax(510) 839-0806
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 5, 2026
✔ NPI 1972619146 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA 17823
3300 WEBSTER ST, Oakland, CA 94609
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Physical Therapist
3300 WEBSTER ST, SUITE 402
OAKLAND, CA 94609
OAKLAND, CA 94609
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972619146, enumerated as an "individual" on August 21, 2006.
The provider is located at 3300 WEBSTER ST SUITE 500 OAKLAND, CA 94609 and the phone number is (510) 465-6600.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.