Jyothi Ahalya Reddy, MD
Internal Medicine, Gastroenterology in Riverside, CA. Individual provider (NPI-1).
NPI number1033221007
StatusActive
Last updated in NPPESOct 18, 2020
Details
- NPI
- 1033221007
- Entity type
- Individual (NPI-1)
- Name
- Jyothi Ahalya Reddy
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Oct 18, 2020
- Last updated
- Oct 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | A44374 | CA | Yes |
| 207RG0100X | Internal Medicine, Gastroenterology | MD00034669 | WA | |
| 207RG0100X | Internal Medicine, Gastroenterology | 036093840 | IL | |
| 207RG0100X | Internal Medicine, Gastroenterology | 01045025A | IN |
Practice location
9670 Magnolia Ave Ste 203Riverside, CA 92503-3684
Phone 951-354-3976 · Fax 951-354-2924
Mailing address
9670 Magnolia Ave Ste 203Riverside, CA 92503-3684
Phone 951-354-3976 · Fax 951-354-2024
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