1. Elsa L. Lerro, MD

    1. Elsa L. Lerro, MD

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    Fresno, CA

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    Elsa L. Lerro, MD

    5.0 (2 reviews)
    Closed 8:30 am - 12:00 pm, 1:00 PM - 4:30 PM

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    3 years ago

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    Narala And Madireddy, MD - Dr. Madhava Reddy Narala

    Narala And Madireddy, MD

    1.9(9 reviews)
    1.2 mi

    I called the doctor and got the appointment right away. Thanks for the care and love, my…read moregranddaughter is so happy to see her doctor again. The best service ever. Thank you Doctor

    I'd go somewhere else…read more. First let me start off by talking about his some of the staff. The front desk ladies are always giving people dirty looks for no reason. I've been observing them every time I'm in the waiting room. Its like they're gossiping and chuckling about the patients and making it SO obvious. Like seriously? How old are you? Do you think you're "cool" because you sit behind that glass window all day? Get over yourselves. Now on to the Doctor, I've been a patient of Dr. Narala for a little less than a year and I could say strongly, if you're okay with someone who has the demeanor of the perfect example of someone not giving a shit about you or your health, then Dr Narala is the perfect guy for you! I don't need a fuzzy warm doctor, let me just state that, but the way Dr Narala interacts with his patients are highly rude. For me he never formally introduced himself when I first met him. Every time I go and see him, he starts off opening the door and just blankly asks me, "What's Wrong..". Oh, well okay, hello to you too Doctor. WTF. Then you go on explaining your current health issues or concerns and all he does is stare at the computer screen off into space and when you stop and the room gets awkwardly quiet he musters up an, "Okay..", So instead of him taking reigns of the conversation (which he should because he's a doctor) you start asking him questions one by one and he just replies Yes or No. Its literally like talking to an Magic 8 Ball!!! Dr Narala puts in no effort to get to know his patients or inform them in anyway. Everything he tells you after feeling like you just mentally interrogated your own doctor, either doesn't make sense with no explanation or he's honestly left you with no answer. Then the final thing that PISSES me off about Dr Narala is that when he feels like he's done with you he gets up and leaves whenever he feels like it. You can be mid way in conversation and he'll get up and walk out. No mention of follow up appointments or medical advice.. NOTHING. He is RUDE and his staff sucks. So ill be taking myself somewhere else.

    Rajani Vanam, MD

    Rajani Vanam, MD

    3.7(3 reviews)
    0.5 mi

    At times, and most likely on first introduction, Dr. Vanam may present as reasonably personable,…read moreprofessional and efficient. I would encourage potential patients not to let themselves be misled by the small act of Kabuki theater she performs so unctuously, smiling insincerely, on introducing herself to new patients. If Dr. Vanam takes you on as a patient and your experience with her is like mine, you will see her maybe twice a year, at the mandated annual wellness visits, perhaps, when she will ask you why you are there (as if it were not mandatory and pressed upon you) and what you want to do about your health. She will make you feel as though it is your responsibility to come up with whatever you need medically, no matter how serious or complex your particular health status is. You will never get her on the phone, or receive a call back from her upon request, and you should, in her mind, at all times recognize and feel badly that you are imposing on her whenever and however you attempt to interact with her. Dr. Vanam will tailor her treatment to her own moods, or how she feels about you personally, not AMA best practices or anything so bothersome or (to her) inconvenient as prevailing medical standards. Have you been taking a very run-of-the-mill, commonly-prescribed medication at standard dosages for something basic like blood pressure or migraines for years, perhaps? She will change it up for no reason at all aside from, perhaps, her own boredom, and never mention it to you or ever ever - god forbid! - explain to you why she has made the change. You will just find out what has happened when, say, you notice a different color and shape of pill as you leave the pharmacy and suddenly read the label to find your long established and functional routine has unexpectedly been upended. The randomness and lack of respect can be crazy-making. But if you complain about anything at all to anyone, and she gets wind of it, Dr. Vanam will find creative ways to punish you. Be very clear, she does not care about you or your health except to the bare minimum extent she is required to pretend to do so in order to maintain her medical license. (I generally prefer female doctors and had one for almost two decades in another state whom I still miss sorely. But Dr. Vanam seems congenitally incapable of accessing within herself the sort of compassion for her fellow human beings that characterizes the best medical professionals and, indeed, most decent people. Her superciliousness and arrogance are much more in line with the kind of male surgeon some of you familiar with the health care system will recognize by type, who expects everyone to admire him almost to the point of paying tribute on a daily basis, and considers any hint of questioning of any pronouncement he makes the practical equivalent of denouncing God, your fellow man and all religion.) Mostly you will deal with Dr. Vanam's staff or PAs, who are generally efficient, knowledgeable and very nice, due evidently to the fact that human resources is managed by the group, not the individual doctors. But as to Dr. Vanam individually, you will hear way more often than you expect that she is on vacation and always that she is too busy (she runs an extremely full practice, with more patients than she can reasonably handle presumably because it is more remunerative that way ...) to stoop to interacting face to face or in real time with mere patients like you. (It is sort of like, "Silly patient to expect anything of the sort - little you and the important Doctor?!") She practices medicine mostly by means of referrals to specialists, which she does not manage personally, and which typically expose you, the patient, to delays of months each time as you wait to be seen, and sadly, quite often get messed up by staff inattention or insurance miscoding. While Dr. Vanam was "my" doctor, I tried mightily to be the ideal patient, endlessly patient, always friendly with staff, doing everything exactly as instructed, not making any quick judgments. But it got to the point where I wondered what Dr. Vanam actually did herself, if anything. It seemed as though others dealt with or resolved the problems Dr. Vanam's personal feelings or preferences, or simple 'forgettings,' created. She was never once, in almost a year's time, involved in prescribing a treatment or medication or handling any medical situation herself. I wasted truly crazy amounts of time with a series of incorrect referrals, referrals to specialists who each informed me they did not handle the kinds of medical work for which I had been referred.

    Dr. Vanam took her time to review my medical info & set forth a plan. Support staff thorough &…read moreconsiderate.

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    Rajani Vanam, MD

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    Kwok Tsing T MD

    Kwok Tsing T MD

    1.0(2 reviews)
    1.2 mi

    Has been practicing much too long! Treated my in-laws for…read moremany years.. We were attempting to place (wife's parents) into an assisted living facility which required formal documents to be signed by Dr. Kwok before acceptance. These documents sat in his office for over 3 weeks and the timing for entrance into the facility was becoming critical. My wife and I made a personal visit to Dr. Kwok to have him sign the documents. With great reluctance and disdain he grabbed the forms and began marking them as quickly as possible. We took the forms to the facility who advised that they were not acceptable due to being illegible and filled out improperly. Also during our visit to the office, Dr. Kwok acted as if we were beneath him and his attitude was non-caring! Needless to say, we were disgusted by his behavior and immediately transferred to another physician, who took over care & signed the necessary paperwork within a few hours. Appears to be a money making factory with little concern for the well being of his patients.

    We called Dr. Kwok's office and explained to them that my Mom acts out when we take her to the…read moredoctor. They said NO PROBLEM we deal with patients like that ALL the time. We talked to their office for 45 minutes trying to give them the WHOLE story. They said no problem. We took her today, and by the time I got there, they had refused to see my Mom because she was yelling in the waiting room. The girl behind the counter was so RUDE!! She wouldn't say anything to me but when my sister got there, she started yelling, that I could be escorted out. All I said was, Oh yes you are going to see my MOM! We explained all this to your office and they said no problem. It was DR. Kwok who refused my Mom.I have to talk to an attorney and then maybe sue for the money and time we spent getting my Mom there. Awful places, awful attitudes, they suck.

    Elsa L. Lerro, MD - internalmed - Updated September 2026

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