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REDDY MEDICAL GROUP INC NPI 1407995038


NPI Information

NPI: 1407995038
Provider Name: REDDY MEDICAL GROUP INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D0963827

Address:
7045 N MAPLE AVE STE 108
FRESNO, CA
ZIP 93720
Phone: (559) 326-7393
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REDDY MEDICAL GROUP INC is an internal medicine in Fresno, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. REDDY MEDICAL GROUP INC NPI is 1407995038. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7045 N MAPLE AVE STE 108
FRESNO, CA
ZIP 93720-008
Phone: (559) 326-7393
Fax: (559) 369-2488

The provider's authorized official is Kiran Reddy .
The authorized official title is Owner and has the following contact phone number (559) 326-7393.

The CLIA number assigned to this NPI record is 05D0963827 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 1/10/2019.


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 MedicineA55459CALIFORNIAYes
2207RI0200XInternal MedicineInfectious DiseaseA49497CALIFORNIANo
3363LF0000XNurse PractitionerFamily18274CALIFORNIANo

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
1GR0092800MEDICAIDCALIFORNIA

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: 4/28/2024

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