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Individual

JANARDHANA REDDY KOLAVALA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18523 CORWIN ROAD, SUITE E, APPLE VALLEY, CA 92307
(760) 242-3634
(760) 242-3634
Mailing address
18523 CORWIN ROAD, SUITE E, APPLE VALLEY, CA 92307
(760) 242-3634
(760) 242-2119

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A38782
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A37882
CA
207RP1001X
Pulmonary Disease Physician
A38782
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A387820
CA
Enumeration date
06/04/2006
Last updated
09/11/2025
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