| NPI | 1396990545 |
|---|---|
| Doing Business As | SHASTA COMMUNITY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | VENKAMMA REDDY President 530-605-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2019-08-30 |