Mohan Ettyreddy, MD
Anesthesiology in Porterville, CA. Individual provider (NPI-1).
NPI number1407807100
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1407807100
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mohan Ettyreddy
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | A82879 | CA | Yes |
Practice location
465 W PutnamPorterville, CA 93257
Phone 559-784-1110
Mailing address
Po Box 7096Stockton, CA 95267
Phone 209-956-7725 · Fax 209-956-7733
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