Individual
SIVAKUMAR REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
TWO MEDICAL PLAZA, STE 200, ROSEVILLE, CA 95661
(916) 782-5106
(916) 783-5927
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
00A776420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A77642
CALIFORNIA STATE MD LICENSE
CA
01
—
ZZZ15630Z
GRP ID
—
Enumeration date
03/24/2006
Last updated
05/24/2013
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