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NPI Code Detail

MEDICARE: DR. NAGAMANI PADALA MD

MEDICARE: DR. NAGAMANI PADALA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0802XAddiction Psychiatry Physician231068NY

General Provider Information

NPI Number : 1659303253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAGAMANI PADALA MD
Provider Business Mailing Address
First Line : 1212 N CALIFORNIA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95202-1552
Country : US
Telephone Number : 209-468-8862
Fax Number :
Provider Business Practice Location Address
First Line : 1212 N CALIFORNIA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95202-1552
Country : US
Telephone Number : 209-468-8862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 05/21/2020

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Directions to “ DR. NAGAMANI PADALA MD” Practice Location

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