MOHAN ETTYREDDY

PORTERVILLE, CA
NPI1407807100
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  A82879)
Enumeration Date2006-05-15
Last Update Date2007-07-08
Business Address
Mr. MOHAN ETTYREDDY MD
465 W PUTNAM
PORTERVILLE, CA 93257
Phone number: 559-784-1110
Mailing Address
Mr. MOHAN ETTYREDDY MD
PO BOX 7096
STOCKTON, CA 95267
Phone number: 209-956-7725