Individual
DR. NARAYANA G MEMULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 MEDICAL CENTER DR, SUITE 100, SAN BERNARDINO, CA 92411-1218
(909) 887-8800
(909) 887-5678
Mailing address
6770 BROWN LN, POPLAR BLUFF, MO 63901-8652
(573) 560-1008
(573) 560-1008
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
C52162
CA
2085R0203X
Therapeutic Radiology Physician
Primary
R8431
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R8431
MEDICALLICENSE
MO
Enumeration date
08/01/2006
Last updated
12/21/2021
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