Reddy, Venkamma

Reddy, Venkamma is an individual health care provider with primary practice located at 12276 Hesperia Rd , Victorville CA 92395-5838. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Reddy, Venkamma can be contacted via phone (760) 241-8000.

Contact Information

Primary practice address
12276 Hesperia Rd Victorville CA 92395-5838
Phone: (760) 241-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A36287 California

Profile Details

NPI number 1124077698
LBN Legal business name Reddy, Venkamma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 19th, 2013 - about 12 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 1124077698 NPPES
California MEDICAID 00A362870
California Other 110121191

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