Individual
DEEPA REDDY MOPARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4700 ALLIANCE BLVD STE 400, PLANO, TX 75093-5323
(469) 814-6631
(469) 814-3110
Mailing address
4700 ALLIANCE BLVD STE 400, PLANO, TX 75093-5323
(469) 814-6631
(469) 814-3110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10027618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173882-01
—
TX
Enumeration date
07/12/2007
Last updated
11/27/2012
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