Individual
MANTHANI P REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7045 N MAPLE AVE STE 108, FRESNO, CA 93720-8008
(559) 326-7393
(559) 369-2488
Mailing address
7045 N MAPLE AVE STE 108, FRESNO, CA 93720-8008
(559) 326-7393
(559) 369-2488
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A49497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A494970
—
CA
Enumeration date
08/09/2006
Last updated
01/15/2019
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