Reddy, Prathyusha Kethi

Reddy, Prathyusha Kethi is an individual health care provider with primary practice located at 14131 Midway Rd Suite 620, Addison TX 75001-3623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Reddy, Prathyusha Kethi can be contacted via phone (972) 249-0200.

Contact Information

Primary practice address
14131 Midway Rd Suite 620 Addison TX 75001-3623
Phone: (972) 249-0200
Fax: (972) 249-0206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L8095 Texas

Profile Details

NPI number 1851358477
LBN Legal business name Reddy, Prathyusha Kethi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Sep 23rd, 2008 - about 16 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 1851358477 NPPES
Texas MEDICAID 164235701
Texas MEDICAID 164235702

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