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Organization
KD MEDICAL GROUP INC
Active
Organization
KD MEDICAL GROUP INC
Active
Other names
Foot & Ankle Podiatric & Orthopedic Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARTHIKEYA DEVIREDDY M.D. (MEDICAL DIRECTOR)
(209) 826-2222
Entity
Organization
Contact information
Practice address
400 W I ST, SUITE C, LOS BANOS, CA 93635-3459
(209) 827-2766
(209) 827-2733
Mailing address
311 W I ST, LOS BANOS, CA 93635-3479
(209) 826-2222
(209) 826-0199
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5321
CA
332BC3200X
Customized Equipment (DME)
5321
CA
Other
Enumeration date
05/11/2017
Last updated
06/26/2017
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