Reddy, Yasodhara Madhava
Reddy, Yasodhara Madhava is an individual health care provider with primary practice located at 4102 24Th St Suite 507, Lubbock TX 79410-1806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Reddy, Yasodhara Madhava can be contacted via phone (806) 725-7750.Contact Information
Primary practice address
4102 24Th St Suite 507
Lubbock TX 79410-1806
Phone: (806) 725-7750
Fax: (806) 723-7518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | F8639 | Texas |
Profile Details
| NPI number | 1144284233 |
|---|---|
| LBN Legal business name | Reddy, Yasodhara Madhava |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Nov 21st, 2011 - about 15 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 | 1144284233 | NPPES |
| Texas | MEDICAID | 135946509 |
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