Reddy, Jayasankar K
Reddy, Jayasankar K is an individual health care provider with primary practice located at 4412 Kell Blvd , Wichita Falls TX 76309-4719. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Reddy, Jayasankar K can be contacted via phone (940) 716-0557.Contact Information
Primary practice address
4412 Kell Blvd
Wichita Falls TX 76309-4719
Phone: (940) 716-0557
Fax: (940) 355-0028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N6404 | Texas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | N6404 | Texas |
Profile Details
| NPI number | 1174562276 |
|---|---|
| LBN Legal business name | Reddy, Jayasankar K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Feb 6th, 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 | 1174562276 | NPPES |
| Texas | MEDICAID | 213626901 | |
| Texas | MEDICAID | 213626902 |
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