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NARALA AND MADIREDDY MD A PROFESSIONAL CORPORATION NPI 1063409167


NPI Information

NPI: 1063409167
Provider Name: NARALA AND MADIREDDY MD A PROFESSIONAL CORPORATION

Doing Business As: INTERNAL MEDICINE AND PEDIATRICS MEDICAL GROUP

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0919966

Address:
568 E HERNDON AVE
SUITE 101
FRESNO, CA
ZIP 93720
Phone: (559) 224-7990
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NARALA AND MADIREDDY MD A PROFESSIONAL CORPORATION is a pediatrics in Fresno, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NARALA AND MADIREDDY MD A PROFESSIONAL CORPORATION NPI is 1063409167. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Internal Medicine And Pediatrics Medical Group.

The provider's business location address is:

568 E HERNDON AVE
SUITE 101
FRESNO, CA
ZIP 93720-989
Phone: (559) 224-7990
Fax: (559) 224-5617

The provider's authorized official is Nagaratnamma Madireddy .
The authorized official title is Medical Director and has the following contact phone number (559) 224-7990.

The CLIA number assigned to this NPI record is 05D0919966 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2005 and was last updated on 6/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA51491CALIFORNIANo
2207R00000XInternal MedicineA51494CALIFORNIANo
3208000000XPediatricsA51491CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0077500OTHERCALIFORNIACHDP
2GR0077500MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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