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Dr. Mallareddy Maddula, MD
Nephrology Physician in Stockton, California
NPI 1487762647

Mallareddy Maddula is a Nephrology Physician based in Stockton, CA and is specialized in Nephrology. Mallareddy Maddula practices in Stockton, CA and has the professional credentials of MD. The NPI Number for Mallareddy Maddula is 1487762647 and holds a License No. ME96158 (California).

The current practice location address for Mallareddy Maddula is 1801 E March Ln, Stockton, CA and can be reached out via phone at 209-546-1868 and via fax at 209-461-6505.

Location: 1801 E March Ln, Stockton, CA, 95210-6629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487762647
Provider Name
Mallareddy Maddula
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1801 E March Ln, Stockton, CA, 95210-6629
Phone Number
209-546-1868
Fax Number
209-461-6505
Provider Enumeration Date
08/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A108120 01 CA STATE LICENSE
CB971Z 01 CA MEDICARE
institution
Provider Business Practice Location Address Details
Address
1801 E March Ln
City
Stockton
State
California
Zip
95210-6629
Phone Number
209-546-1868
Fax Number
209-461-6505
person
Provider Business Mailing Address Details
Address
1801 E March Ln
City
Stockton
State
California
Zip
95210-6629
Phone Number
209-546-1868
Fax Number
209-461-6505
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
ME96158 (Florida)
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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