Individual
SHIVANI REDDY KANDUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
200 S MANCHESTER AVE, ORANGE, CA 92868-3217
(174) 456-8888
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A127205
CA
207ZP0101X
Anatomic Pathology Physician
Primary
A127205
CA
Other
Enumeration date
08/05/2010
Last updated
06/03/2025
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