# MMC DOC MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427309293
- **Authorized official:** SRINIVASA REDDY MD (OWNER)
- **Authorized official phone:** (623) 341-6539

## Contact information

- **Practice address:** 13216 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4907
- **Practice address phone:** (623) 977-5003
- **Mailing address:** 7298 W AVENIDA DEL SOL, PEORIA, AZ 85383-3257
- **Mailing address phone:** (623) 341-6539
- **Mailing address fax:** (708) 801-7128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | 34403 | AZ | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 09/19/2012