Kona, Sudhakar Reddy

Kona, Sudhakar Reddy is an individual health care provider with primary practice located at 1866 N Orange Grove Ave Suite 102, Pomona CA 91767-3031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Kona, Sudhakar Reddy can be contacted via phone (909) 629-3062.

Contact Information

Primary practice address
1866 N Orange Grove Ave Suite 102 Pomona CA 91767-3031
Phone: (909) 629-3062
Fax: (909) 629-1142
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A34736 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A34736 California

Profile Details

NPI number 1619080215
LBN Legal business name Kona, Sudhakar Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated May 11th, 2011 - about 13 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 1619080215 NPPES
California MEDICAID 00A347360

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