Provider Demographics
NPI:1639451578
Name:REDDY, VEMURU SUNIL KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:VEMURU SUNIL
Middle Name:KUMAR
Last Name:REDDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 DAPPLEGRAY RD
Mailing Address - Street 2:
Mailing Address - City:BELL CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1010
Mailing Address - Country:US
Mailing Address - Phone:469-236-1427
Mailing Address - Fax:
Practice Address - Street 1:16311 VENTURA BLVD STE 505
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4309
Practice Address - Country:US
Practice Address - Phone:818-387-8725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01076762A208C00000X
CA133552208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery