Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Surender Reddy Edla, MD

Individual provider Family Medicine Physician · NPI 1245263524

Dr. Surender Reddy Edla, MD is a Family Practice in Etters, Pennsylvania. Qualified in 1999, 27 years ago. Practices with Primedocs PC, a 17-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.

Years since qualifying
27
Licensed in
PA, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1790 Old Trail Rd
Etters, PA 17319-9652
Phone: (717) 938-6588
Fax: (717) 938-9601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101239065 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD429426 (PA)

Record details

NPI number1245263524
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESSeptember 3, 2021
Certification dateSeptember 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Primedocs Pc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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