Sukshma Reddy Sreepathi
Neonatal-Perinatal Doctor
15107 Vanowen St
Van Nuys
, California 91405-4542
Sukshma Reddy Sreepathi
Neonatal-Perinatal Doctor
15107 Vanowen St
Van Nuys
, California 91405-4542
(949) 366-2390
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About
Features
Specialties
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Sukshma Reddy Sreepathi
- Po Box 1359
- San Clemente, CA
- Zip : 92674-1359
- Fax : (949) 366-2390
- Phone : (949) 492-3514
Second Address
- Sukshma Reddy Sreepathi
- 15107 Vanowen St
- Van Nuys, CA
- Zip : 91405-4542
- Phone : (818) 902-2978
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | C41958 | CA |
National Provider Identifier
| NPI | 1073614301 |
|---|---|
| Provider Name | Sukshma Reddy Sreepathi |
| First Address | San Clemente, CA 92674-1359 |
| Second Address | Van Nuys, CA 91405-4542 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00C419480 | (05) | CA |
| C41958 | MEDICAL LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.