Individual
DR. SUMANA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
875 EL CAJON BLVD, EL CAJON, CA 92020-5714
(619) 662-4100
Mailing address
875 EL CAJON BLVD, EL CAJON, CA 92020-5714
(619) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
35-072256P
OH
207K00000X
Allergy & Immunology Physician
Primary
C52581
CA
207K00000X
Allergy & Immunology Physician
MD-045281-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084793
—
OH
01
—
C52581
MEDICAL LICENSE
CA
01
—
GN258A
MEDICARE GROUP PTAN
CA
Enumeration date
10/19/2005
Last updated
02/20/2025
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