Individual
JAYA REDDY MALLIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3594
(628) 206-8000
Mailing address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3594
(628) 206-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
252857
MA
207R00000X
Internal Medicine Physician
A134248
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A134248
CA
207RI0011X
Interventional Cardiology Physician
A134248
CA
208M00000X
Hospitalist Physician
252857
MA
Other
Enumeration date
04/13/2009
Last updated
04/28/2026
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