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

Kishore Kumar Gaddam, MD

Individual provider Pediatrics Physician · NPI 1093069411

Kishore Kumar Gaddam, MD is a Pediatrics Physician in Modesto, California. Practices as a sole proprietor. Licensed in California and Delaware.

Licensed in
CA, DE
In the registry since
2012
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

1510 Florida Ave
Modesto, CA 95350-4437
Phone: (209) 722-4842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence C201309 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence C10025067 (DE)

Record details

NPI number1093069411
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 7, 2012
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

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