Reddy, Manorama M
Reddy, Manorama M is an sole proprietor health care provider with primary practice located at 4533 College Ave , San Diego CA 92115-4010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Reddy, Manorama M can be contacted via phone (619) 583-8700.Contact Information
Primary practice address
4533 College Ave
San Diego CA 92115-4010
Phone: (619) 583-8700
Fax: (619) 583-5866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | A39669 | California |
Profile Details
| NPI number | 1356341168 |
|---|---|
| LBN Legal business name | Reddy, Manorama M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Oct 8th, 2011 - about 13 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 | 1356341168 | NPPES |
| California | MEDICAID | 00A396690 |
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