Reddy, Shantan G

Reddy, Shantan G is an individual health care provider with primary practice located at 1415 Santa Fe St , Corpus Christi TX 78404-2105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Reddy, Shantan G can be contacted via phone (361) 885-0390.

Contact Information

Primary practice address
1415 Santa Fe St Corpus Christi TX 78404-2105
Phone: (361) 885-0390
Fax: (361) 904-0178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD200535 Louisiana
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD200535 Louisiana
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X P9943 Texas

Profile Details

NPI number 1689872848
LBN Legal business name Reddy, Shantan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Jan 2nd, 2017 - 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 1689872848 NPPES
Louisiana MEDICAID 1070700
Louisiana MEDICAID 280554102

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