Manorama M Reddy M.D Inc

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

A39669 Issued in CA

Legal business name

MANORAMA M REDDY M.D INC

Practice address

4533 College Ave
San Diego, CA 92115-4010

Phone

(619) 583-8700

Fax

(619) 583-5866

NPI assigned

Oct 8, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manorama M Reddy, M.D.

Title

President

Phone

(619) 583-8700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Manorama M. Reddy, MD Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318032000000",
    "number": "1891079885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 COLLEGE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154010",
            "telephone_number": "619-583-8700",
            "fax_number": "619-583-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 COLLEGE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154010",
            "telephone_number": "619-583-8700",
            "fax_number": "619-583-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANORAMA M REDDY M.D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-08",
        "last_updated": "2011-10-08",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MANORAMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-583-8700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A39669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A396690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "A39669",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manorama M. Reddy, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anjella Manoharan, MD
• Sreeganesh Manoharan, MD
• Adina Manolescu, DDS
• Andrea Manoocheri, FNP
• Julie P Manoogian, PSY.D.
• Manos Banbury Corporation (Paradise Hills Convalescent Center)
• Yamile Manosalva, CRNA
• Erendira Manriquez-Castillo, M.D.
• Josefina Manriquez-Castillo
• Jodyleen Hizon Manriquez-Nash, RN

• Medical Oncology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Medical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.