Provider Demographics
NPI:1780835447
Name:REDDY, SRIDHAR KADUMPALLI (MD)
Entity Type:Individual
Prefix:DR
First Name:SRIDHAR
Middle Name:KADUMPALLI
Last Name:REDDY
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3401 N BROAD ST
Mailing Address - Street 2:INTERNAL MEDICINE RESIDENCY OFFICE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-5103
Mailing Address - Country:US
Mailing Address - Phone:215-707-3397
Mailing Address - Fax:
Practice Address - Street 1:12665 GARDEN GROVE BLVD STE 211
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1916
Practice Address - Country:US
Practice Address - Phone:714-636-2890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA118770207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology