| Internal Medicine And Pediatrics Medical Group | |
|
568 E Herndon Ave Ste 102 Fresno CA 93720-2989 | |
| (559) 221-7500 | |
| (559) 248-2472 |
| Full Name | Internal Medicine And Pediatrics Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 568 E Herndon Ave, Fresno, California |
| Authorized Official Name and Position | Madhava Reddy Narala (PRESIDENT) |
| Authorized Official Contact | 5592217500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine And Pediatrics Medical Group 568 E Herndon Ave Ste 102 Fresno CA 93720-2989 Ph: (559) 221-7500 | Internal Medicine And Pediatrics Medical Group 568 E Herndon Ave Ste 102 Fresno CA 93720-2989 Ph: (559) 221-7500 |
| NPI Number | 1265428403 |
|---|---|
| Provider Enumeration Date | 09/23/2005 |
| Last Update Date | 06/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265428403 | NPI | - | NPPES |
| GR0077501 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A51494 (California) | Primary |
| 208000000X | Pediatrics | A51491 (California) | Secondary |
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