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Organization
REDDY MEDICAL GROUP INC
Active
Organization
REDDY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRAN REDDY MD (OWNER)
(559) 326-7393
Entity
Organization
Contact information
Practice address
7045 N MAPLE AVE STE 108, FRESNO, CA 93720-8008
(559) 326-7393
(559) 369-2488
Mailing address
7045 N MAPLE AVE STE 108, FRESNO, CA 93720-8008
(559) 326-7393
(559) 369-2488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A55459
CA
207RI0200X
Infectious Disease Physician
A49497
CA
363LF0000X
Family Nurse Practitioner
18274
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092800
—
CA
Enumeration date
02/06/2007
Last updated
01/10/2019
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