Individual
DEVENDER DARAM REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H2169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099286901
—
TX
01
—
10017654
AMERIGROUP
TX
01
—
110106827
RR MEDICARE
TX
Enumeration date
11/03/2005
Last updated
11/17/2011
Update your record
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