Reddy, Vijayabhasker K
Reddy, Vijayabhasker K is an individual health care provider with primary practice located at 909 Aspen Ridge Dr , Southlake TX 76092-3840. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Reddy, Vijayabhasker K can be contacted via phone (817) 917-6647.Contact Information
Primary practice address
909 Aspen Ridge Dr
Southlake TX 76092-3840
Phone: (817) 917-6647
Fax: (870) 338-8239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M5464 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E1310 | Arkansas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M5464 | Texas |
Profile Details
| NPI number | 1144287947 |
|---|---|
| LBN Legal business name | Reddy, Vijayabhasker K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | May 6th, 2024 - about 2 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 | 1144287947 | NPPES |
| Arkansas | MEDICAID | 131920001 |
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