DR. SUDHAKAR REDDIVALAM M.D. NPI 1003969429

NPI Information

  • NPI: 1003969429
  • Provider Name: DR. SUDHAKAR REDDIVALAM, M.D.
  • Classification: Pediatrics - 2080P0214X
  • Specialization: Pediatric Pulmonology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9300 VALLEY CHILDRENS PL
    MADERA, CA
    ZIP 93638
  • Phone: (559) 353-5550

Map and Directions

Get Directions

NPI Details

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
12080P0214XPediatricsPediatric PulmonologyA49339CALIFORNIAYes

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
1F28687MEDICARE UPINCALIFORNIA
2810571901OTHERCALIFORNIATAX ID NUMBER
3GR0103350MEDICAIDCALIFORNIA
400A493390OTHERCALIFORNIAINDIVIDUAL 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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI