Dr. Gautam Bhimidi Reddy
Interventional Cardiology Internist - Cardiovascular Disease
3801 W 15th St Bldg B, Suite 320
Plano
, Texas 75075-4737
Dr. Gautam Bhimidi Reddy
Interventional Cardiology Internist - Cardiovascular Disease
3801 W 15th St Bldg B, Suite 320
Plano
, Texas 75075-4737
(972) 596-1724
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Dr. Gautam Bhimidi Reddy
- 16980 Dallas Pkwy Ste 200
- Dallas, TX
- Zip : 75248-1908
- Fax : (972) 596-1724
- Phone : (972) 985-8838
Second Address
- Dr. Gautam Bhimidi Reddy
- 3801 W 15th St Bldg B, Suite 320
- Plano, TX
- Zip : 75075-4737
- Fax : (972) 596-1724
- Phone : (972) 985-8838
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 68545 | GA |
| N | 207RI0011X | Interventional Cardiology | 68545 | GA |
| Y | 207RI0011X | Interventional Cardiology | P3064 | TX |
National Provider Identifier
| NPI | 1083898365 |
|---|---|
| Provider Name | Dr. Gautam Bhimidi Reddy |
| First Address | Dallas, TX 75248-1908 |
| Second Address | Plano, TX 75075-4737 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/12/2007 |
| Last Update Date | 08/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 334371701 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.