Individual
SURABHI CHANDRA-BOSE REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
C137131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164366002
—
TX
01
—
8M8180
BCBS
TX
Enumeration date
12/22/2006
Last updated
10/23/2020
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