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Organization
OM PHYSICIANS
Active
Organization
OM PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANJULA KUNDHUR REDDY M.D. (OWNER/PRESIDENT)
(925) 398-8466
Entity
Organization
Contact information
Practice address
730 17TH ST, MODESTO, CA 95354-1209
(925) 398-8466
(925) 954-4770
Mailing address
PO BOX 1648, PLEASANTON, CA 94566-0164
(925) 398-8466
(925) 954-4770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
03/31/2021
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