| Dr Shanthi G Reddy | |
|
1233 S Main St Lumberton TX 77657-7390 | |
| (409) 755-3600 | |
| (409) 755-4443 |
| Full Name | Dr Shanthi G Reddy |
|---|---|
| Speciality | Family Medicine |
| Location | 1233 S Main St, Lumberton, Texas |
| Authorized Official Name and Position | Shanthi G Reddy (PHYSICIAN) |
| Authorized Official Contact | 4097553600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shanthi G Reddy 1233 S Main St Lumberton TX 77657-7390 Ph: (409) 755-3600 | Dr Shanthi G Reddy 1233 S Main St Lumberton TX 77657-7390 Ph: (409) 755-3600 |
| NPI Number | 1114244845 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114244845 | NPI | - | NPPES |
| 8F24399 | Other | TX | MEDICARE INDIVIDUAL PTAN |
| 1134127681 | Other | TX | NPI -INDIVIDUAL |
| J3587 | Other | TX | TEXAS LICENSE |
| 0A6210 | Other | TX | MEDICARE GROUP PTAN |
| 1114244845 | Other | TX | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J3587 (Texas) | Primary |
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