Malladi S Reddy, Md,facc | |
4201 Garth Rd Suite 315 Baytown TX 77521-3167 | |
(281) 420-6000 | |
(281) 420-9000 |
Full Name | Malladi S Reddy, Md,facc |
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Speciality | Clinic/Center |
Location | 4201 Garth Rd, Baytown, Texas |
Authorized Official Name and Position | Malladi S Reddy (DOCTOR OF MEDICINE) |
Authorized Official Contact | 2814206000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Malladi S Reddy, Md,facc 4201 Garth Rd Suite 315 Baytown TX 77521-3167 Ph: (281) 420-6000 | Malladi S Reddy, Md,facc 4201 Garth Rd Suite 315 Baytown TX 77521-3167 Ph: (281) 420-6000 |
NPI Number | 1548487572 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 09/05/2012 |
Medicare PECOS PAC ID | 6305943242 |
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Medicare Enrollment ID | O20070529000562 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548487572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | J3885 (Texas) | Primary |
Provider Name | Malladi S Reddy |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1730102062 PECOS PAC ID: 1951303601 Enrollment ID: I20070208000315 |
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