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
Fax: (512) 654-4201
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235151523 NPPES
Texas MEDICAID 1863854 01

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