# S B REDDY M.D.P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215153705
- **Authorized official:** DR. SRINIVASA BAKKANNAGARI M.D. (OWNER)
- **Authorized official phone:** (512) 636-9483

## Contact information

- **Practice address:** 919 E 32ND ST, AUSTIN, TX 78705-2703
- **Practice address phone:** (512) 476-7111
- **Mailing address:** PO BOX 81337, AUSTIN, TX 78708-1337
- **Mailing address phone:** (512) 636-9483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | L1523 | TX | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020