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Organization
NARALA AND MADIREDDY MD A PROFESSIONAL CORPORATION
Active
Organization
NARALA AND MADIREDDY MD A PROFESSIONAL CORPORATION
Active
Other names
Internal Medicine and Pediatrics Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGARATNAMMA MADIREDDY M.D. (MEDICAL DIRECTOR)
(559) 224-7990
Entity
Organization
Contact information
Practice address
568 E HERNDON AVE, SUITE 101, FRESNO, CA 93720-2989
(559) 224-7990
(559) 224-5617
Mailing address
568 E HERNDON AVE STE 101, FRESNO, CA 93720-2989
(559) 224-7990
(559) 224-5617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A51491
CA
207R00000X
Internal Medicine Physician
A51494
CA
208000000X
Pediatrics Physician
Primary
A51491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0077500
CHDP
CA
05
—
GR0077500
—
CA
Enumeration date
10/04/2005
Last updated
06/13/2019
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