Reddy, Likith V

Reddy, Likith V is an individual health care provider with primary practice located at 3302 Gaston Ave Rm #161, Dallas TX 75246-2013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Reddy, Likith V can be contacted via phone (214) 828-8455.

Contact Information

Primary practice address
3302 Gaston Ave Rm #161 Dallas TX 75246-2013
Phone: (214) 828-8455
Fax: (214) 828-8382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X Q0158 Texas

Profile Details

NPI number 1104887645
LBN Legal business name Reddy, Likith V
Credentials D.D.S., M.D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 7th, 2014 - about 12 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 1104887645 NPPES
Ohio MEDICAID 2414097
Ohio MEDICAID 2554294

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