Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mallareddy Maddula, MD

Individual provider Nephrology Physician · NPI 1487762647

Dr. Mallareddy Maddula, MD is a Nephrology in Stockton, California. Qualified in 1997, 29 years ago. Practices with San Joaquin Kidney Clinic, Inc, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Florida.

Years since qualifying
29
Licensed in
CA, FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1801 E March Ln Ste B265
Stockton, CA 95210-6629
Phone: (209) 546-1868
Fax: (209) 461-6505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A108120 (CA)
Nephrology Physician Taxonomy 207RN0300X · Licence ME96158 (FL)

Record details

NPI number1487762647
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 28, 2006
Last updated in NPPESFebruary 28, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice San Joaquin Kidney Clinic, Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Stockton