Reddy, Avinash D

Reddy, Avinash D is an individual health care provider with primary practice located at 2355 E Grapevine Mills Cir , Grapevine TX 76051-2047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reddy, Avinash D can be contacted via phone (972) 539-6330.

Contact Information

Primary practice address
2355 E Grapevine Mills Cir Grapevine TX 76051-2047
Fax: (972) 539-3077
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35910 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q4834 Texas

Profile Details

NPI number 1609874312
LBN Legal business name Reddy, Avinash D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jun 3rd, 2016 - about 8 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 1609874312 NPPES
Tennessee MEDICAID 3877546

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