Individual
DEEPA K REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2755 ALAMO ST STE 101, SIMI VALLEY, CA 93065-1311
(805) 210-7280
Mailing address
2755 ALAMO ST STE 101, SIMI VALLEY, CA 93065-1311
(805) 210-7280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00045474
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8447799
—
WA
Enumeration date
01/18/2007
Last updated
08/27/2014
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