Organization
FIRST PEDIATRICS HANFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYDILI MANIAM-MOHAN MD (PHYSICIAN / PRESIDENT)
(559) 530-3073
Entity
Organization
Contact information
Practice address
450 KINGS COUNTY DR STE 103, HANFORD, CA 93230-5788
(559) 530-3073
(559) 530-3074
Mailing address
450 KINGS COUNTY DR STE 103, HANFORD, CA 93230-5788
(559) 530-3073
(530) 530-3074
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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