Reddivalam, Sudhakar
Reddivalam, Sudhakar is an sole proprietor health care provider with primary practice located at 9300 Valley Childrens Pl , Madera CA 93638-8761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Reddivalam, Sudhakar can be contacted via phone (559) 353-5550.Contact Information
Primary practice address
9300 Valley Childrens Pl
Madera CA 93638-8761
Phone: (559) 353-5550
Fax: (559) 353-5587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | A49339 | California |
Profile Details
| NPI number | 1003969429 |
|---|---|
| LBN Legal business name | Reddivalam, Sudhakar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003969429 | NPPES |
| California | Other | 00A493390 | INDIVIDUAL NUMBER |
| California | MEDICAID | GR0103350 | INDIVIDUAL NUMBER |
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