Provider Demographics
NPI:1225615537
Name:DUDIPALA, HARSHITHA REDDY
Entity type:Individual
Prefix:
First Name:HARSHITHA
Middle Name:REDDY
Last Name:DUDIPALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8524 VILLA LA JOLLA DR APT 161
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-2318
Mailing Address - Country:US
Mailing Address - Phone:330-322-0680
Mailing Address - Fax:
Practice Address - Street 1:8524 VILLA LA JOLLA DR APT 161
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-2318
Practice Address - Country:US
Practice Address - Phone:330-322-0680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program