Yarrabolu, Tharakanatha Reddy
Yarrabolu, Tharakanatha Reddy is an individual health care provider with primary practice located at 3533 S Alameda St 202, Corpus Christi TX 78411-1721. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Yarrabolu, Tharakanatha Reddy can be contacted via phone (361) 694-5082.Contact Information
Primary practice address
3533 S Alameda St 202
Corpus Christi TX 78411-1721
Phone: (361) 694-5082
Fax: (361) 694-4641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | P7372 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | P7372 | Texas |
Profile Details
| NPI number | 1366799025 |
|---|---|
| LBN Legal business name | Yarrabolu, Tharakanatha Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2012 |
| Last updated | Oct 10th, 2016 - 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 | 1366799025 | NPPES |
| New Mexico | MEDICAID | 90882865 | |
| New Mexico | MEDICAID | 200546340 A | |
| New Mexico | MEDICAID | 332738901 | |
| New Mexico | MEDICAID | 332738902 |
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