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Organization
KD MEDICAL GROUP INC
Active
Organization
KD MEDICAL GROUP INC
Active
Parent organization
KD MEDICAL GROUP INC
Other names
Padres Medical Imaging,Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KD MEDICAL GROUP INC
Authorized official
KARTHIKEYA DEVIREDDY (OWNER / MEDICAL DIRECTOR)
(209) 826-2222
Entity
Organization
Contact information
Practice address
311 W I ST, LOS BANOS, CA 93635-3479
(209) 826-6444
(209) 826-6464
Mailing address
311 W I ST, LOS BANOS, CA 93635-3479
(209) 826-6444
(209) 826-6464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A119932
CA
207R00000X
Internal Medicine Physician
—
CA
208000000X
Pediatrics Physician
A109208
CA
2085R0202X
Diagnostic Radiology Physician
—
CA
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
03/17/2008
Last updated
06/26/2026
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