Individual
CHANDRA KANTH KATIKIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2210 E ILLINOIS AVE, SUITE 508, FRESNO, CA 93701-2125
(559) 320-0545
(559) 320-0550
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A82981
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A82981
CA
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
A82981
CA
207RP1001X
Pulmonary Disease Physician
A82981
CA
207UN0901X
Nuclear Cardiology Physician
A82981
CA
Other
Enumeration date
02/01/2007
Last updated
06/13/2014
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