Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | M9603 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | M9603 | TX |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | M9603 | TX |
NPI | 1760685705 |
---|---|
Provider Name | Veerabhadra K. Reddy |
First Address | Dallas, TX 75265-0500 |
Second Address | Dallas, TX 75246-1615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 27/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
199780102 | (05) | TX |
199780103 | (05) | TX |
199780104 | (05) | TX |
8BP731 | BCBS PAR NUMBER (01) | TX |
M9603 | TEXAS STATE LICENSE NUMBER (01) | TX |