Avinash D Reddy, MD | |
2355 E Grapevine Mills Cir, Grapevine, TX 76051-2047 | |
(972) 539-6330 | |
(972) 539-3077 |
Full Name | Avinash D Reddy |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2355 E Grapevine Mills Cir, Grapevine, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609874312 | NPI | - | NPPES |
3877546 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35910 (Tennessee) | Secondary |
207Q00000X | Family Medicine | Q4834 (Texas) | Primary |
Entity Name | University Of Tennessee |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780686436 PECOS PAC ID: 3072421213 Enrollment ID: O20031119000671 |
Mailing Address | Practice Location Address |
---|---|
Avinash D Reddy, MD Po Box 9101, Coppell, TX 75019-9494 Ph: (972) 745-7500 | Avinash D Reddy, MD 2355 E Grapevine Mills Cir, Grapevine, TX 76051-2047 Ph: (972) 539-6330 |
Dr. Adrienne L Prentiss, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 W College St, Ste 510, Grapevine, TX 76051 Phone: 817-251-1225 Fax: 817-251-1228 | |
Lee W Haak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 William D Tate Ave, Grapevine, TX 76051 Phone: 817-251-2101 Fax: 817-421-5041 | |
Orson P Rodriguez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2355 E Grapevine Mills Cir, Grapevine, TX 76051 Phone: 972-539-6330 Fax: 972-539-3077 | |
Dr. Saba Shabnam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Lancaster Dr Ste 160, Grapevine, TX 76051 Phone: 817-510-9645 Fax: 817-685-6047 | |
Chad A Hogan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1280 S Main St Ste 100, Grapevine, TX 76051 Phone: 817-310-0898 Fax: 817-310-5524 | |
Eric R Futscher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St Ste 100, Grapevine, TX 76051 Phone: 817-912-0442 Fax: 817-329-5668 | |
Carleo A Capili, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 W Northwest Hwy, Grapevine, TX 76051 Phone: 817-481-5365 Fax: 827-424-3264 |