Organization · NPI-2

Kaditam V Reddy, M.D., INC.

Psychiatry & Neurology, Neurology · Thousand Oaks, CA

NPI number1104369552
StatusActive
Last updated in NPPESDec 30, 2019

Details

NPI
1104369552
Entity type
Organization (NPI-2)
Legal business name
Kaditam V Reddy, M.D., INC.
Organization subpart
No
Enumeration date
Dec 1, 2016
Certification date
Dec 30, 2019
Last updated
Dec 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyA70245CAYes

Other names

  • Kaditam V. Reddy, M.D. (Doing Business As)

Practice location

227 W Janss Rd Ste 350
Thousand Oaks, CA 91360-1881

Phone 805-918-5008 · Fax 888-587-3339

Mailing address

227 W Janss Rd Ste 350
Thousand Oaks, CA 91360-1881

Phone 805-918-5008 · Fax 888-587-3339

Authorized official

Kaditam V Reddy
President
8059185008

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