Reddy, Likith V
Reddy, Likith V is an individual health care provider with primary practice located at 3302 Gaston Ave Rm #161, Dallas TX 75246-2013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Reddy, Likith V can be contacted via phone (214) 828-8455.Contact Information
Primary practice address
3302 Gaston Ave Rm #161
Dallas TX 75246-2013
Phone: (214) 828-8455
Fax: (214) 828-8382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | Q0158 | Texas |
Profile Details
| NPI number | 1104887645 |
|---|---|
| LBN Legal business name | Reddy, Likith V |
| Credentials | D.D.S., M.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | May 7th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104887645 | NPPES |
| Ohio | MEDICAID | 2414097 | |
| Ohio | MEDICAID | 2554294 |
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