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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356337505 NPPES
California MEDICAID 00A514910
California Other GR0077500
California Other A51491
California MEDICAID GR0077500

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