Organization
MANORAMA M REDDY M.D INC
Active
Other names
Manorama M. Reddy, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MANORAMA M REDDY M.D. (PRESIDENT)
(619) 583-8700
Entity
Organization
Contact information
Practice address
4533 COLLEGE AVE, SAN DIEGO, CA 92115-4010
(619) 583-8700
(619) 583-5866
Mailing address
4533 COLLEGE AVE, SAN DIEGO, CA 92115-4010
(619) 583-8700
(619) 583-5866
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A39669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A396690
—
CA
01
—
A39669
MEDICARE PROVIDER ID
—
Enumeration date
10/08/2011
Last updated
10/08/2011
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