Poreddy, Vijayrama Reddy

Poreddy, Vijayrama Reddy is an individual health care provider with primary practice located at 7200 Wyoming Springs Dr Suite 1300, Round Rock TX 78681-4303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Poreddy, Vijayrama Reddy can be contacted via phone (512) 244-2273.

Contact Information

Primary practice address
7200 Wyoming Springs Dr Suite 1300 Round Rock TX 78681-4303
Fax: (512) 244-3179
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X L9434 Texas

Profile Details

NPI number 1881602621
LBN Legal business name Poreddy, Vijayrama Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Sep 17th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881602621 NPPES
Texas MEDICAID 1666778-03
Texas Other 8CM020

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