Individual
DR. SIVAKUMAR REDDY MUNNANGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
386 W OLIVE AVE, SUITE A, MERCED, CA 95348-3137
(209) 724-9900
(209) 724-9901
Mailing address
386 W OLIVE AVE STE A, MERCED, CA 95348-3137
(209) 724-9900
(209) 724-9901
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A052645
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A526450
—
CA
Enumeration date
11/30/2007
Last updated
08/27/2015
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