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Individual

DR. MOHAN P. REDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
750 WEST OLIVE AVE., STE. 103, MERCED, CA 95348-2436
(209) 383-6868
(209) 383-0760
Mailing address
750 WEST OLIVE AVE., STE. 103, MERCED, CA 95348-2436
(209) 383-6868
(209) 383-0760

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A262450
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A262450
CA
Enumeration date
09/21/2006
Last updated
09/26/2008
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