Individual
PAVAN REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 EL CAJON BLVD STE 100, EL CAJON, CA 92020-5760
(619) 867-0557
(619) 867-0558
Mailing address
1380 EL CAJON BLVD STE 212, EL CAJON, CA 92020-5760
(619) 867-0557
(619) 867-0558
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A146837
CA
Other
Enumeration date
04/23/2015
Last updated
08/13/2024
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