Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kanthi Bommareddy, MD

Individual provider Dermatology Physician · NPI 1942875612

Kanthi Bommareddy, MD is a Dermatology in Fort Lauderdale, Florida. Graduated from Albany Medical College of Union University in 2021, 5 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
5
Trained at
Albany Medical College of Union University
Licensed in
CA
In the registry since
2021
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

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone: (347) 506-8938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 42600 Mirage Rd, Rancho Mirage, CA 92270-4127 — (760) 423-4000

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A208725 (CA)

Record details

NPI number1942875612
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2021
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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