Individual
DR. VEDHIRE SUBBALAXMI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2813 S MAIN ST, CORONA, CA 92882-5942
(951) 273-0608
Mailing address
2813 S MAIN ST, CORONA, CA 92882-5942
(951) 273-0608
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A46202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A462020
—
CA
Enumeration date
09/20/2006
Last updated
02/15/2022
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