| Sudhir K Reddy MD Inc | |
|
811 E 11th St Ste 208 Upland CA 91786-4872 | |
| (909) 982-2279 | |
| (909) 946-3070 |
| Full Name | Sudhir K Reddy MD Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 811 E 11th St Ste 208, Upland, California |
| Authorized Official Name and Position | Sudhir Kumar Reddy (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9099464566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudhir K Reddy MD Inc 811 E 11th St Ste 208 Upland CA 91786-4872 Ph: (909) 982-2279 | Sudhir K Reddy MD Inc 811 E 11th St Ste 208 Upland CA 91786-4872 Ph: (909) 982-2279 |
| NPI Number | 1508164211 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 09/29/2020 |
| Certification Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508164211 | NPI | - | NPPES |
| C44811 | Other | CO | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A48880 (California) | Primary |
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