Individual
DR. SRINIVAS PEDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23929 MCBEAN PKWY, VALENCIA, CA 91355-4466
(323) 549-3030
(323) 549-3049
Mailing address
20 EXECUTIVE PARK STE 155, IRVINE, CA 92614-4733
(949) 263-8620
(800) 409-7005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2011005782
MO
2085R0202X
Diagnostic Radiology Physician
Primary
A118625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A1186250
BLUE SHIELD OF CALIFORNIA
CA
05
—
1003024191
—
CA
Enumeration date
05/20/2007
Last updated
08/30/2012
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