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Organization
T SQRD MEDICAL GROUP, P.A.
Active
Organization
T SQRD MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAN MALLIPEDDI MD (PRESIDENT)
(408) 823-6970
Entity
Organization
Contact information
Practice address
16755 LITTLEFIELD LN, LOS GATOS, CA 95032-5601
(408) 357-4751
Mailing address
16755 LITTLEFIELD LN, LOS GATOS, CA 95032-5601
(408) 357-4751
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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