Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A62606 | CA |
N | 111NI0900X | Internist | A62606 | CA |
N | 207RC0200X | Critical Care Medicine | A62606 | CA |
NPI | 1033140207 |
---|---|
Provider Name | Chinnapa Reddy Nareddy |
First Address | Fresno, CA 93720-5030 |
Second Address | Fresno, CA 93720-3309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 06/09/2017 |