Organization
REDDIWANDLA SEENU REDDY, M.D., INC.
Active
Other names
R. SEENU REDDY, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REDDIWANDLA SEENU REDDY M.D. (OWNER)
(619) 461-6130
Entity
Organization
Contact information
Practice address
8881 FLETCHER PKWY, STE #240, LA MESA, CA 91942-3134
(619) 461-6130
(619) 461-3108
Mailing address
8881 FLETCHER PKWY, STE #240, LA MESA, CA 91942-3134
(619) 461-6130
(619) 461-3108
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A38098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A380980
—
CA
Enumeration date
05/15/2012
Last updated
05/15/2012
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