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

Kanuboddu Nagarjuna Reddy

Individual provider Internal Medicine Physician · NPI 1003349820

Kanuboddu Nagarjuna Reddy is an Internal Medicine in Vancouver, Washington. Qualified in 2017, 9 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Washington.

Years since qualifying
9
Licensed in
FL, WA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

700 NE 87th Ave Ste 220
Vancouver, WA 98664-4896
Phone: (360) 882-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 — (850) 431-7900

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD61164297 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME143491 (FL)

Record details

NPI number1003349820
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 8, 2017
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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