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KOTA JAGDISH REDDY MD PA NPI 1891984043


NPI Information

NPI: 1891984043
Provider Name: KOTA JAGDISH REDDY MD PA

Doing Business As: REDDY & REYNOLDS CARDIOLOGY ASSOCIATES

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D1056973

Address:
3519 TOWN CENTER BLVD
SUITE A
SUGAR LAND, TX
ZIP 77479
Phone: (281) 491-0044
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KOTA JAGDISH REDDY MD PA is a specialist in Sugar Land, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KOTA JAGDISH REDDY MD PA NPI is 1891984043. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Reddy & Reynolds Cardiology Associates.

The provider's business location address is:

3519 TOWN CENTER BLVD
SUITE A
SUGAR LAND, TX
ZIP 77479-001
Phone: (281) 491-0044
Fax: (281) 491-1447

The provider's authorized official is Kota J Reddy .
The authorized official title is President and has the following contact phone number (281) 491-0044.

The CLIA number assigned to this NPI record is 45D1056973 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 3/6/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistK2568TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G48165MEDICARE UPINTEXAS
200424TMEDICARE PINTEXAS
3DD6476OTHERTEXASMEDICARE RAILROAD GROUP
41376554691OTHERINDIVIDUAL NPI
51275565236OTHERTEXASINDIVIDUAL NPI
6060070154OTHERTEXASMEDICARE RAILROAD INDIVIDUAL
7154455301MEDICAIDTEXAS

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: 4/28/2024

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