Reddy, Shanti B

Reddy, Shanti B is an individual health care provider with primary practice located at 1901 Sw H K Dodgen Loop , Temple TX 76502-1814. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Reddy, Shanti B can be contacted via phone (254) 935-4000.

Contact Information

Primary practice address
1901 Sw H K Dodgen Loop Temple TX 76502-1814
Phone: (254) 935-4000
Fax: (254) 935-4111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J0643 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X J0643 Texas
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X J0643 Texas

Profile Details

NPI number 1073544268
LBN Legal business name Reddy, Shanti B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Dec 22nd, 2021 - about 3 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 1073544268 NPPES
Texas MEDICAID 135133002

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