DR. SUDHAKAR REDDIVALAM M.D. NPI 1003969429

NPI Information

NPI: 1003969429
Provider Name: DR. SUDHAKAR REDDIVALAM, M.D.
Classification: Pediatrics - 2080P0214X
Entity Type: Individual

Specialization: Pediatric Pulmonology

PECOS Registration: Yes

Address:
9300 VALLEY CHILDRENS PL
MADERA, CA
ZIP 93638
Phone: (559) 353-5550
Get Directions

DR. Sudhakar Reddivalam, M.D. is a pediatric pulmonology pediatrics in Madera, CA. The provider is a pediatrician 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. DR. Sudhakar Reddivalam, M.D. NPI is 1003969429. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9300 VALLEY CHILDRENS PL
MADERA, CA
ZIP 93638-761
Phone: (559) 353-5550
Fax: (559) 353-5587

The NPI 1003969429 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0214X	Pediatrics	Pediatric Pulmonology	A49339	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F28687	MEDICARE UPIN	CALIFORNIA
2	810571901	OTHER	CALIFORNIA	TAX ID NUMBER
3	GR0103350	MEDICAID	CALIFORNIA
4	00A493390	OTHER	CALIFORNIA	INDIVIDUAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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