Reddy, Srinivasa A
Reddy, Srinivasa A is an individual health care provider with primary practice located at 5026 Pool Road , Denison TX 75020-4595. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Reddy, Srinivasa A can be contacted via phone (903) 465-3624.Contact Information
Primary practice address
5026 Pool Road
Denison TX 75020-4595
Phone: (903) 465-3624
Fax: (903) 465-3973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L2091 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L2091 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | L2091 | Texas |
Profile Details
| NPI number | 1336145333 |
|---|---|
| LBN Legal business name | Reddy, Srinivasa A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Oct 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336145333 | NPPES |
| Oklahoma | Other | 22577 | MEDICAL LICENSE |
| Oklahoma | MEDICAID | 181383403 | MEDICAL LICENSE |
| Oklahoma | MEDICAID | 200032000A | MEDICAL LICENSE |
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