# VALLEY PEDIATRIC PULMONARY MEDICAL CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285788398
- **Authorized official:** DR. SUDHAKAR L. REDDIVALAM M.D. (PEDIATRIC PULMONOLOGIST)
- **Authorized official phone:** (559) 353-5550

## Contact information

- **Practice address:** 9300 VALLEY CHILDRENS PL, MADERA, CA 93638-8761
- **Practice address phone:** (559) 353-5550
- **Practice address fax:** (559) 353-5587
- **Mailing address:** 9300 VALLEY CHILDRENS PL, MADERA, CA 93638-8761
- **Mailing address phone:** (559) 353-5550
- **Mailing address fax:** (559) 353-5587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0214X | Pediatric Pulmonology Physician | 2080P0214X | CA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020