Individual
DR. DASARATHA VEMIREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
916 I ST, LOS BANOS, CA 93635-4313
(209) 826-0477
(209) 826-0686
Mailing address
916 I STREET, LOS BANOS, CA 93635-3459
(209) 826-0477
(209) 826-0686
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A32138
CA
Other
Enumeration date
07/25/2006
Last updated
11/03/2016
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