Individual
SUDHAKAR REDDY KONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1866 N ORANGE GROVE AVE, SUITE 102, POMONA, CA 91767-3031
(909) 629-3062
(909) 629-1142
Mailing address
840 TOWNE CENTER DRIVE, CHAPARRAL MEDICAL GROUP INC, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A34736
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A34736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A347360
—
CA
Enumeration date
08/16/2006
Last updated
05/11/2011
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