MEDICARE: DR. NAGABHUSHANA SIDDAPPA MALAKKLA 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
1	207RA0000X	Adolescent Medicine (Internal Medicine) Physician	C50513	CA

General Provider Information

NPI Number	:	1326149006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAGABHUSHANA SIDDAPPA MALAKKLA MD

Provider Business Mailing Address
First Line	:	2707, E OMAHA
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	97720
Country	:	US
Telephone Number	:	559-032-5815
Fax Number	:

Provider Business Practice Location Address
First Line	:	2615 EAST CLINTON AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93703
Country	:	US
Telephone Number	:	559-225-6100
Fax Number	:	559-228-5377

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1407277312 — MS. LEAH HAYMOND LCSW
Practice Location Address:

2060 N WINERY AVE STE 101
FRESNO, CA
93703-4816

Practice Phone: 559-317-4116
Practice Fax:

1316641327 — NAYLE CAMARILLO GUTIERREZ
Practice Location Address:

3115 N MILLBROOK AVE
FRESNO, CA
93703-1425

Practice Phone: 559-600-2382
Practice Fax:

1205634235 — DR. ADAM J LOPEZ PSYD
Practice Location Address:

1359 N FRESNO ST
FRESNO, CA
93703-3837

Practice Phone: 559-780-8695
Practice Fax:

1073460473 — LAUREN RICHARD RN
Practice Location Address:

2615 E CLINTON AVE
FRESNO, CA
93703-2223

Practice Phone: 559-225-6100
Practice Fax:

1700549938 — DALILA BERNICE SOLORIO
Practice Location Address:

3115 N MILLBROOK AVE
FRESNO, CA
93703-1425

Practice Phone: 559-600-2382
Practice Fax:

1063416873 — MS. CECILIA S. SALAZAR N.P.
Practice Location Address:

3133 N MILLBROOK AVE
FRESNO, CA
93703-1425

Practice Phone: 559-453-8918
Practice Fax: 559-453-3566

Directions to “ DR. NAGABHUSHANA SIDDAPPA MALAKKLA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.