Reddy, Shobha Dharam
Reddy, Shobha Dharam is an sole proprietor health care provider with primary practice located at 3108 Ranch Road 620 S , Lakeway TX 78738-5635. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Reddy, Shobha Dharam can be contacted via phone (512) 654-4200.Contact Information
Primary practice address
3108 Ranch Road 620 S
Lakeway TX 78738-5635
Phone: (512) 654-4200
Fax: (512) 654-4201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M3369 | Texas |
Profile Details
| NPI number | 1235151523 |
|---|---|
| LBN Legal business name | Reddy, Shobha Dharam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235151523 | NPPES |
| Texas | MEDICAID | 1863854 01 |
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