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:
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Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356341168 NPPES
California MEDICAID 00A396690

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