Individual
SRIDHAR M REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4955 VAN NUYS BLVD STE 308, SHERMAN OAKS, CA 91403-1811
(818) 528-1260
(818) 528-1261
Mailing address
13217 HANEY PL, LOS ANGELES, CA 90049-3624
(858) 243-0503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R74126
AZ
207RI0011X
Interventional Cardiology Physician
Primary
A167870
CA
Other
Enumeration date
04/30/2013
Last updated
07/28/2020
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