Provider Demographics
NPI:1336310515
Name:INUKONDA, KIRTHI REDDY (MD)
Entity Type:Individual
Prefix:
First Name:KIRTHI
Middle Name:REDDY
Last Name:INUKONDA
Suffix:
Gender:F
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:PO BOX 74224
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-5641
Mailing Address - Country:US
Mailing Address - Phone:408-356-0431
Mailing Address - Fax:
Practice Address - Street 1:15151 NATIONAL AVE STE 1
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2627
Practice Address - Country:US
Practice Address - Phone:408-356-0431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA238705207V00000X
CAA112924207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology