Sundeep G Reddy, Md Pa | |
2300 Central Blvd Brownsville TX 78520-8714 | |
(956) 544-3226 | |
(956) 544-6657 |
Full Name | Sundeep G Reddy, Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 2300 Central Blvd, Brownsville, Texas |
Authorized Official Name and Position | Sundeep G Reddy (PHYSICIAN/OWNER) |
Authorized Official Contact | 9565443226 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sundeep G Reddy, Md Pa Po Box 3190 Brownsville TX 78523-3190 Ph: (956) 544-3226 | Sundeep G Reddy, Md Pa 2300 Central Blvd Brownsville TX 78520-8714 Ph: (956) 544-3226 |
NPI Number | 1386725166 |
---|---|
Provider Enumeration Date | 10/18/2006 |
Last Update Date | 10/13/2015 |
Medicare PECOS PAC ID | 4486683414 |
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Medicare Enrollment ID | O20050809001147 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386725166 | NPI | - | NPPES |
175413701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K3422 (Texas) | Primary |
Provider Name | Sundeep G Reddy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992709513 PECOS PAC ID: 5395774327 Enrollment ID: I20050810000361 |
Provider Name | Angela Barron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346991569 PECOS PAC ID: 7719372192 Enrollment ID: I20220322001050 |
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