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Organization
PAVANI REDDY MD, INC
Active
Organization
PAVANI REDDY MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVANI NAINI REDDY M.D (PRESIDENT)
(714) 473-8777
Entity
Organization
Contact information
Practice address
4002 GRANDVIEW DR, BREA, CA 92823-1068
(714) 473-8777
Mailing address
4002 GRANDVIEW DR, BREA, CA 92823-1068
(714) 473-8777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A88373
CA
Other
Enumeration date
04/28/2012
Last updated
04/28/2012
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