Individual
MR. SIVAREDDY TEGULAPALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
266 S HARVARD BLVD STE 250, LOS ANGELES, CA 90004-4884
(213) 387-9000
(213) 387-5804
Mailing address
266 S HARVARD BLVD STE 250, LOS ANGELES, CA 90004-4884
(213) 387-9000
(213) 387-5804
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
4301045341
MI
207RG0100X
Gastroenterology Physician
Primary
C157742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176566110
—
MI
Enumeration date
11/14/2006
Last updated
08/21/2019
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