Active NPI
Narala & Madireddy MD a Professional Corporation
- Internal Medicine Physician
- Fresno, CA
National Provider Identifier
1265428403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A51494
- Legal business name
- NARALA & MADIREDDY MD A PROFESSIONAL CORPORATION
- Practice address
- 568 E Herndon Ave
Ste 102
Fresno, CA 93720-2989 - Phone
- (559) 221-7500
- Fax
- (559) 248-2472
- NPI assigned
- Sep 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Madhava Reddy Narala, M.D.
- Title
- President
- Phone
- (559) 221-7500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A51494 | CA | Primary |
| Pediatrics Physician | 208000000X | A51491 | CA |
Addresses
Primary practice location
568 E Herndon Ave
Ste 102
Fresno, CA 93720-2989
Mailing address
568 E Herndon Ave
Ste 102
Fresno, CA 93720-2989
Phone (559) 221-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0077501 | Medicaid | CA |
Other names 1
- Internal Medicine and Pediatrics Medical Group
National Provider Directory
National Provider DirectoryLocations
568 E Herndon Ave
Ste 102
Fresno, CA 93720
Phone (559) 221-7500
568 E Shaw Ave Ste 102
Fresno, CA 93710
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560384000000",
"number": "1265428403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 E HERNDON AVE",
"address_2": "STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202989",
"telephone_number": "559-221-7500",
"fax_number": "559-248-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 E HERNDON AVE",
"address_2": "STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202989",
"telephone_number": "559-221-7500",
"fax_number": "559-248-2472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NARALA & MADIREDDY MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-23",
"last_updated": "2019-06-13",
"status": "A",
"authorized_official_last_name": "NARALA",
"authorized_official_first_name": "MADHAVA",
"authorized_official_middle_name": "REDDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-221-7500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A51494",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A51491",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0077501",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Internal Medicine and Pediatrics Medical Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Internal Medicine and Pediatrics Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.