Individual
DR. NAGABHUSHANA SIDDAPPA MALAKKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2615 EAST CLINTON AVE, FRESNO, CA 93703
(559) 225-6100
(559) 228-5377
Mailing address
2707, E OMAHA, FRESNO, CA 97720
(559) 032-5815
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
C50513
CA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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