Madireddy, Nagaratnamma
Madireddy, Nagaratnamma is an individual health care provider with primary practice located at 568 E Herndon Ave Suite 101, Fresno CA 93720-2989. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Madireddy, Nagaratnamma can be contacted via phone (559) 224-7990.Contact Information
Primary practice address
568 E Herndon Ave Suite 101
Fresno CA 93720-2989
Phone: (559) 224-7990
Fax: (559) 224-5617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A51491 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A51491 | California |
Profile Details
| NPI number | 1356337505 |
|---|---|
| LBN Legal business name | Madireddy, Nagaratnamma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356337505 | NPPES |
| California | MEDICAID | 00A514910 | |
| California | Other | GR0077500 | |
| California | Other | A51491 | |
| California | MEDICAID | GR0077500 |
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