Organization
JAYAPAL A REDDY MD AND RADHA T REDDY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RADHA THIRUVENGADAM REDDY M.D. (SECRETARY)
(909) 561-6627
Entity
Organization
Contact information
Practice address
9471 HAVEN AVE, SUITE 140, RANCHO CUCAMONGA, CA 91730-5844
(909) 474-2333
Mailing address
9471 HAVEN AVE, SUITE 140, RANCHO CUCAMONGA, CA 91730-5844
(909) 474-2333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A89463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A894630
—
CA
Enumeration date
04/05/2013
Last updated
12/27/2013
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