Individual
P B SAGIREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 E MARCH LN, SUITE B265, STOCKTON, CA 95210-6629
(209) 546-1868
(209) 461-6504
Mailing address
1801 E MARCH LN, SUITE B265, STOCKTON, CA 95210-6629
(209) 546-1868
(209) 461-6504
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A73135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A731351
—
CA
05
—
00A73510
—
CA
01
—
DA0971
RAILROAD MEDICARE
CA
Enumeration date
10/11/2005
Last updated
02/28/2011
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