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Organization
MALLU REDDY MD INC
Active
Organization
MALLU REDDY MD INC
Active
Other names
Reddy Care Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALLU CHENNA REDDY M.D. (CEO/DIRECTOR)
(909) 623-4050
Entity
Organization
Contact information
Practice address
1196 N PARK AVE, POMONA, CA 91768-3027
(909) 623-4050
(909) 620-5259
Mailing address
1196 N PARK AVE, POMONA, CA 91768-3027
(909) 623-4050
(909) 620-5259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/16/2010
Last updated
08/21/2023
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