| NPI | 1407995038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRAN REDDY Owner 559-326-7393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A55459) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A49497) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 18274) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-01-10 |