Dr. Sudhakar Reddivalam
M.D. | Pediatric Pulmonology | Male
Dr. Sudhakar Reddivalam, M.D. is a Madera, California based Pediatric doctor with medical specialization in
Pediatric Pulmonology. Dr. Sudhakar Reddivalam is also known as
Reddivalam Sudhakar.
Current practice location of Dr. Sudhakar Reddivalam is
9300 Valley Childrens Pl, Madera, California - 93638-8761. He can be contacted on phone at
559-353-5550 and fax number 559-353-5587.
Dr. Sudhakar Reddivalam is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Sudhakar Reddivalam is
1003969429 which was assigned by NPPES on 19 Jan, 2007 and it was last updated on 09 Jul, 2007.
Dr. Sudhakar Reddivalam license number is
A49339 for Pediatrics Pediatric Pulmonology (2080P0214X) in California.
Dr. Sudhakar Reddivalam is dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Complete Profile:
Dr. Sudhakar Reddivalam basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Pulmonology |
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| Provider Name : | Dr. Sudhakar Reddivalam |
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| Other Name : | Reddivalam Sudhakar |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Sudhakar Reddivalam address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9300 Valley Childrens Pl
Madera, CA, 93638-8761
United States |
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| Phone Number : | 559-353-5550 |
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| Fax Number : | 559-353-5587 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003969429 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jan, 2007 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sudhakar Reddivalam are as mentioned. Primary taxonomy code for Dr. Sudhakar Reddivalam, M.D. is
2080P0214X (Pediatrics Pediatric Pulmonology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0214X | Pediatrics Pediatric Pulmonology | Yes | A49339 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Sudhakar Reddivalam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 810571901 | Other | CA | TAX ID NUMBER |
| GR0103350 | MEDICAID | CA | |
| 00A493390 | Other | CA | INDIVIDUAL NUMBER |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9300 Valley Childrens Pl
Madera, CA, 93638-8761
United States |
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| Phone Number : | 559-353-5550 |
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| Fax Number : | 559-353-5587 |
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Business Location:
Patients can refer following map for directions to
Dr. Sudhakar Reddivalam practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.