NPI | 1285788398 |
---|---|
Entity Type | Organization |
Authorized Contact | SUDHAKAR L. REDDIVALAM Pediatric Pulmonologist 559-353-5550 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA 2080P0214X) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |