Individual
MANORAMA M REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4533 COLLEGE AVE, SAN DIEGO, CA 92115-4010
(619) 583-8700
(619) 583-5866
Mailing address
4533 COLLEGE AVE, SAN DIEGO, CA 92115-4010
(619) 583-8700
(619) 583-5866
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A39669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A396690
—
CA
Enumeration date
07/22/2005
Last updated
10/08/2011
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