Organization
MALLU REDDY MD INC
Active
Other names
Reddy Care Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALLU CHENNA REDDY M.D. (CEO/DIRECTOR)
(909) 623-4050
Entity
Organization
Contact information
Practice address
1196 N PARK AVE, POMONA, CA 91768-3027
(909) 623-4050
(909) 620-5259
Mailing address
1196 N PARK AVE, POMONA, CA 91768-3027
(909) 623-4050
(909) 620-5259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A629580
—
CA
Enumeration date
08/16/2010
Last updated
08/21/2023
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