Reddy, Jagadeshwar G

Reddy, Jagadeshwar G is an individual health care provider with primary practice located at 1222 N Bishop Ave Ste 300 , Dallas TX 75208-4176. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Reddy, Jagadeshwar G can be contacted via phone (972) 388-1045.

Contact Information

Primary practice address
1222 N Bishop Ave Ste 300 Dallas TX 75208-4176
Phone: (972) 388-1045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X P3233 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01067092A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47261 Minnesota
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X P3233 Texas

Profile Details

NPI number 1649250960
LBN Legal business name Reddy, Jagadeshwar G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Oct 9th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649250960 NPPES
Texas MEDICAID 307949301

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