Provider Demographics
NPI:1093893505
Name:VADAPALLI, SUNANDA REDDY (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNANDA
Middle Name:REDDY
Last Name:VADAPALLI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:23823 VALENCIA BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2103
Mailing Address - Country:US
Mailing Address - Phone:661-253-4971
Mailing Address - Fax:661-253-4972
Practice Address - Street 1:23823 VALENCIA BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2103
Practice Address - Country:US
Practice Address - Phone:661-253-4971
Practice Address - Fax:661-253-4972
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG80948208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics