Kolavala, Janardhana Reddy

Kolavala, Janardhana Reddy is an individual health care provider with primary practice located at 18523 Corwin Road Suite E, Apple Valley CA 92307. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kolavala, Janardhana Reddy can be contacted via phone (760) 242-3634.

Contact Information

Primary practice address
18523 Corwin Road Suite E Apple Valley CA 92307
Fax: (760) 242-3634
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A38782 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A37882 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A38782 California

Profile Details

NPI number 1902845373
LBN Legal business name Kolavala, Janardhana Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902845373 NPPES
California MEDICAID 00A387820

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