Reddy, Shantan G
Reddy, Shantan G is an individual health care provider with primary practice located at 1415 Santa Fe St , Corpus Christi TX 78404-2105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Reddy, Shantan G can be contacted via phone (361) 885-0390.Contact Information
Primary practice address
1415 Santa Fe St
Corpus Christi TX 78404-2105
Phone: (361) 885-0390
Fax: (361) 904-0178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD200535 | Louisiana |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | MD200535 | Louisiana |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | P9943 | Texas |
Profile Details
| NPI number | 1689872848 |
|---|---|
| LBN Legal business name | Reddy, Shantan G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Jan 2nd, 2017 - about 9 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 | 1689872848 | NPPES |
| Louisiana | MEDICAID | 1070700 | |
| Louisiana | MEDICAID | 280554102 |
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