Individual
JANARDHANA P REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. , FACS
Contact information
Practice address
400 SE 1ST ST STE B, MINERAL WELLS, TX 76067-5300
(940) 325-1155
(940) 328-1692
Mailing address
400 SE 1ST ST STE B, MINERAL WELLS, TX 76067-5300
(940) 325-1155
(940) 328-1692
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
E5310
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
E5310
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097884301
—
TX
Enumeration date
12/20/2006
Last updated
08/06/2008
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