Individual
DR. RAMYA REDDY MUDDASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A18250
CA
207RX0202X
Medical Oncology Physician
Primary
20A18250
CA
Other
Enumeration date
06/06/2017
Last updated
09/23/2024
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