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Export Provider Record NPI 1205122496
Reena KunreddyM.D
Active
NPI Number1205122496
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1205122496
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2011-06-26
Last Updated2021-04-22
Mailing Address400 E 3rd St, Essentia Health Duluth Clinic
Duluth, MN 55805-1951
United States
Phone: (218) 786-8364
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Primary Practice Address3900 28th Avenue Dr Ste 200
Moline, IL 61265-5540
United States
Phone: (309) 281-2900
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineMN57804
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About NPI 1205122496

Reena Kunreddy M.D is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1205122496. The primary specialty listed is Internal Medicine. The provider is located in Moline, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-06-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1205122496?

NPI 1205122496 belongs to Reena Kunreddy M.D, a Internal Medicine in Moline, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1205122496 active?

The current status of NPI 1205122496 in the NPPES registry is Active. The record was last updated on 2021-04-22.

What specialty is NPI 1205122496?

NPI 1205122496 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1205122496?

You can verify NPI 1205122496 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1205122496?

The primary practice address on file for NPI 1205122496 is 3900 28th Avenue Dr Ste 200, Moline, IL 61265-5540. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1205122496 issued?

NPI 1205122496 was first issued (enumerated) on 2011-06-26. The NPPES record was last updated on 2021-04-22.

Practice Location Map

Reena Kunreddy is located at 3900 28th Avenue Dr Ste 200, Moline, IL. Use the map below to find directions or verify the practice location.

📍 3900 28th Avenue Dr Ste 200, Moline, IL 61265-5540  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Reena Kunreddy. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1205122496. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine57804MN
Data Verified from CMS NPPES Last synced: 2026-08-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162