Individual
SREE VAISHNAVI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 CHILDRENS WAY # MC5018, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
3020 CHILDRENS WAY # MC5018, SAN DIEGO, CA 92123-4223
(858) 576-1700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A20332
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A20332
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
02/06/2024
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