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Organization
HANFORD MEDICAL GROUP PC
Active
Organization
HANFORD MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDESH NAGAVALLI MD (OWNER)
(559) 381-5156
Entity
Organization
Contact information
Practice address
808 VAUGHN ST, HANFORD, CA 93230-4304
(559) 572-1376
Mailing address
808 VAUGHN ST, HANFORD, CA 93230-4304
(559) 572-1376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
05/07/2025
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