Reddy, Gautam Bhimidi
Reddy, Gautam Bhimidi is an individual health care provider with primary practice located at 3801 W 15Th St Bldg B, Suite 320, Plano TX 75075-4737. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Reddy, Gautam Bhimidi can be contacted via phone (972) 985-8838.Contact Information
Primary practice address
3801 W 15Th St Bldg B, Suite 320
Plano TX 75075-4737
Phone: (972) 985-8838
Fax: (844) 292-1457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 68545 | Georgia |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 68545 | Georgia |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | P3064 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | P3064 | Texas |
Profile Details
| NPI number | 1083898365 |
|---|---|
| LBN Legal business name | Reddy, Gautam Bhimidi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2007 |
| Last updated | May 19th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083898365 | NPPES |
| Texas | MEDICAID | 334371701 |
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