| NPI | 1063409167 |
|---|---|
| Doing Business As | INTERNAL MEDICINE AND PEDIATRICS MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NAGARATNAMMA MADIREDDY Medical Director 559-224-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A51491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A51491) |
| 207R00000X Internal Medicine (Licence: CA A51494) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2019-06-13 |