Individual
SRAVAN KUMAR REDDY MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661
(916) 474-2250
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
A163936
CA
Other
Enumeration date
06/19/2013
Last updated
08/05/2019
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