Individual
MR. GUNDALA S REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1390 E YOSEMITE AVE STE C, MERCED, CA 95340-8221
(209) 724-0316
(209) 724-0318
Mailing address
1390 E YOSEMITE AVE, STE C, MERCED, CA 95340-8221
(209) 724-0316
(209) 724-0318
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A71029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A710290
BS OF CA
CA
05
—
00A710290
—
CA
Enumeration date
05/22/2006
Last updated
10/30/2019
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