DR. SUDARSANA REDDY NPI 1578558813

NPI Information

NPI: 1578558813
Provider Name: DR. SUDARSANA REDDY
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
14770 MEMORIAL DR
HOUSTON, TX
ZIP 77079
Phone: (281) 493-5535
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DR. Sudarsana Reddy is a general practice in Houston, TX. DR. Sudarsana Reddy NPI is 1578558813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14770 MEMORIAL DR
HOUSTON, TX
ZIP 77079-238
Phone: (281) 493-5535

The enumeration date for this NPI number is 9/13/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		E7244	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8443J1	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	C20922	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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