Reddy, Tiyyagura S
Reddy, Tiyyagura S is an individual health care provider with primary practice located at 7614 Jacque Rd Ste B , Hudson FL 34667-7195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Reddy, Tiyyagura S can be contacted via phone (727) 863-2105.Contact Information
Primary practice address
7614 Jacque Rd Ste B
Hudson FL 34667-7195
Phone: (727) 863-2105
Fax: (727) 862-2512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME40196 | Florida |
Profile Details
| NPI number | 1205848595 |
|---|---|
| LBN Legal business name | Reddy, Tiyyagura S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jan 19th, 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 | 1205848595 | NPPES |
| Other | 110012967 | RAILROAD MEDICARE | |
| Other | 211156 | RAILROAD MEDICARE | |
| Other | 167251 | RAILROAD MEDICARE | |
| Other | 51256 | RAILROAD MEDICARE | |
| MEDICAID | 042172300 | RAILROAD MEDICARE |
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