Provider Demographics
NPI:1649218199
Name:GADDE, MURALI KRISHNA (MD)
Entity Type:Individual
Prefix:DR
First Name:MURALI
Middle Name:KRISHNA
Last Name:GADDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5538
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93755-5538
Mailing Address - Country:US
Mailing Address - Phone:559-436-1000
Mailing Address - Fax:559-354-4235
Practice Address - Street 1:1 HOSPITAL DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6455
Practice Address - Country:US
Practice Address - Phone:256-880-4187
Practice Address - Fax:256-880-4797
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00024106207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-30887OtherBLUE CROSS PHYSICIAN BASD
AL515-10518OtherBLUE CROSS-HOSPITAL BASED
AL051510518Medicaid
AL050089315OtherRAILROAD MEDICARE
H53783Medicare UPIN
AL515-10518OtherBLUE CROSS-HOSPITAL BASED