| Venkat Reddy, Mdpc | |
|
1804 State St Nashville TN 37203-2206 | |
| (615) 329-9321 | |
| (615) 329-9123 |
| Full Name | Venkat Reddy, Mdpc |
|---|---|
| Speciality | Family Medicine |
| Location | 1804 State St, Nashville, Tennessee |
| Authorized Official Name and Position | Venkat K Reddy (PRESIDENT) |
| Authorized Official Contact | 6153299321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Venkat Reddy, Mdpc 1804 State St Nashville TN 37203-2206 Ph: () - | Venkat Reddy, Mdpc 1804 State St Nashville TN 37203-2206 Ph: (615) 329-9321 |
| NPI Number | 1184886285 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 06/30/2008 |
| Medicare PECOS PAC ID | 5496816597 |
|---|---|
| Medicare Enrollment ID | O20081208000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184886285 | NPI | - | NPPES |
| 1720134521 | Other | TN | NPI |
| 3832261 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30653 (Tennessee) | Primary |
| Provider Name | Venkat Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720134521 PECOS PAC ID: 3577471408 Enrollment ID: I20050627001152 |
| Provider Name | Anirudh Pareek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609127950 PECOS PAC ID: 3274833702 Enrollment ID: I20151204001269 |
| Provider Name | Amy L Bitely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356716831 PECOS PAC ID: 3173824208 Enrollment ID: I20151216000309 |
| Provider Name | Oumy Kalsoum Niang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619610961 PECOS PAC ID: 5092184796 Enrollment ID: I20221219001847 |
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