Individual
GREGORY ALAN REDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G2006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060031201
RAILROAD MEDICARE
TX
01
—
060035084
RAILROAD MEDICARE
TX
05
—
128832602
—
TX
05
—
128832604
—
TX
05
—
128832605
—
TX
01
—
80A138
BCBS
TX
01
—
81G602
BCBS
TX
Enumeration date
09/16/2005
Last updated
04/12/2018
Update your record
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