Individual
DIVYA K REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9333 GENESEE AVE, SUITE 200, SAN DIEGO, CA 92121-2111
(858) 657-8600
(858) 657-8625
Mailing address
9333 GENESEE AVE, SUITE 200, SAN DIEGO, CA 92121-2111
(858) 657-8600
(858) 657-8625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
130224
CA
207Q00000X
Family Medicine Physician
94-07693
KS
Other
Enumeration date
06/09/2011
Last updated
11/29/2016
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