Mallareddy Maddula in Stockton - Nephrology
Mallareddy Maddula - NPI 1487762647
Mallareddy Maddula is a Nephrology in Stockton, California. Mallareddy Maddula practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Mallareddy Maddula is 1487762647. The last update date is 2011-02-28.
Mallareddy Maddula's current location address is 1801 E March Ln, Stockton, California. You can contact this provider via phone number 2095461868 and fax number 2094616505. The mailing address for Mallareddy Maddula is 1801 E March Ln, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mallareddy Maddula |
|---|---|
| Address | 1801 E March Ln, Stockton, California |
| Phone Number | 2095461868 |
| Fax Number | 2094616505 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487762647 |
|---|---|
| Provider Enumeration Date | 2006-08-28 |
| Last Updated Date | 2011-02-28 |
Provider Mailing Address Detail
| Address | 1801 E March Ln |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952106629 |
| Phone Number | 2095461868 |
| Fax Number | 2094616505 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | ME96158 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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What is the Mallareddy Maddula's 1487762647?
The Mallareddy Maddula's NPI (National Provider Identifier) Number is 1487762647. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mallareddy Maddula's physical address?
The Mallareddy Maddula is physically located at 1801 E March Ln, in the city of Stockton, CA, with the postal code 952106629.
What is the Mallareddy Maddula's specialty and taxonomy code?
The Mallareddy Maddula's specialty is Nephrology, and the corresponding taxonomy code is 207Rn0300X.
On what date was the 1487762647 assigned to Mallareddy Maddula?
The Mallareddy Maddula was issued its 1487762647 on 2006-08-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mallareddy Maddula most recently updated or revised?
The information pertaining to Mallareddy Maddula, including its address, specialty, and other relevant details, was last updated or revised on 2011-02-28.