Illuri Radhika Reddy, MD | |
101 Med Tech Pkwy, Suite 305, Johnson City, TN 37604-4007 | |
(423) 926-6266 | |
(423) 926-7599 |
Full Name | Illuri Radhika Reddy |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 101 Med Tech Pkwy, Johnson City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396777405 | NPI | - | NPPES |
3081801 | Medicaid | TN | |
64918873 | Medicaid | KY | |
1396777405 | Medicaid | VA | |
3081807 | Medicaid | TN | |
930094971 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 25510 (Tennessee) | Secondary |
207R00000X | Internal Medicine | MD25510 (Tennessee) | Primary |
Entity Name | T M Carr Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992706097 PECOS PAC ID: 3375504913 Enrollment ID: O20041026000787 |
Entity Name | Appalachian Emergency Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689985863 PECOS PAC ID: 6901099639 Enrollment ID: O20101026000515 |
Entity Name | Carr, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548677610 PECOS PAC ID: 1850512153 Enrollment ID: O20141030001974 |
Entity Name | Tri-cities Regional Emergency Physicians, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
Mailing Address | Practice Location Address |
---|---|
Illuri Radhika Reddy, MD Po Box 5576, Johnson City, TN 37602-5576 Ph: (423) 926-6266 | Illuri Radhika Reddy, MD 101 Med Tech Pkwy, Suite 305, Johnson City, TN 37604-4007 Ph: (423) 926-6266 |
Dr. Alan Cox, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2603 Avondale Dr, Johnson City, TN 37604 Phone: 423-767-8268 | |
Dr. Sheeba Anand, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin, Johnson City, TN 37614 Phone: 423-439-6283 | |
Dr. Charles Famoyin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 Wesley St, Suite 3, Johnson City, TN 37601 Phone: 423-282-0561 Fax: 423-268-2674 | |
Robert Taylor Means Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd, 2nd Floor, Johnson City, TN 37604 Phone: 423-439-7280 Fax: 423-439-7314 | |
Dr. Tariq Ziad Haddadin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604 Phone: 423-926-4468 Fax: 423-928-4838 | |
Timothy O Mcbride, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060 | |
John M Daniel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 N. State Of Franklin Rd., Johnson City, TN 37614 Phone: 423-282-1480 Fax: 423-928-1353 |