Organization
SARVOTHAM K REDDY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARVOTHAM K REDDY (PRESIDENT)
(909) 626-6636
Entity
Organization
Contact information
Practice address
790 E BONITA AVE, # 230, POMONA, CA 91767
(909) 626-6636
(909) 626-6627
Mailing address
790 E BONITA AVE, # 230, POMONA, CA 91767
(909) 626-6636
(909) 626-6627
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A47769
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A477690
—
CA
Enumeration date
02/14/2006
Last updated
08/22/2020
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