| Reddy Medical Group Inc | |
|
7045 N Maple Ave Ste 108 Fresno CA 93720-8008 | |
| (559) 326-7393 | |
| (559) 369-2488 |
| Full Name | Reddy Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7045 N Maple Ave Ste 108, Fresno, California |
| Authorized Official Name and Position | Kiran Reddy (OWNER) |
| Authorized Official Contact | 5593267393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reddy Medical Group Inc 7045 N Maple Ave Ste 108 Fresno CA 93720-8008 Ph: (559) 326-7393 | Reddy Medical Group Inc 7045 N Maple Ave Ste 108 Fresno CA 93720-8008 Ph: (559) 326-7393 |
| NPI Number | 1407995038 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 01/10/2019 |
| Medicare PECOS PAC ID | 3173559044 |
|---|---|
| Medicare Enrollment ID | O20050712000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407995038 | NPI | - | NPPES |
| GR0092800 | Medicaid | CA |
| Provider Name | Manthani P Reddy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073523916 PECOS PAC ID: 5991869638 Enrollment ID: I20090126000303 |
| Provider Name | Carol Ross Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194962266 PECOS PAC ID: 3476618489 Enrollment ID: I20090206000505 |
| Provider Name | Kiran Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588778435 PECOS PAC ID: 0042374183 Enrollment ID: I20100520000400 |
| Provider Name | Simranjit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992256226 PECOS PAC ID: 4688953961 Enrollment ID: I20161108002606 |
| Provider Name | Robbin M Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720645344 PECOS PAC ID: 4789913831 Enrollment ID: I20190916000563 |
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