Individual
AJAY THOTA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8540
Mailing address
6510 ROSEWOOD MANOR CT, SUGAR LAND, TX 77479-4394
(832) 545-7894
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
-
NJ
Other
Enumeration date
04/06/2015
Last updated
06/27/2021
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