Individual
DR. SUDEEP REDDY KOMMIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 S 9TH AVE, YAKIMA, WA 98902-3315
(509) 454-6194
(509) 454-6187
Mailing address
PO BOX 708760, SANDY, UT 84070-8760
(801) 352-9500
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60264032
WA
Other
Enumeration date
08/25/2009
Last updated
03/21/2013
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