Individual
DEVENDER DARAM REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
427 W 20TH ST, SUITE 700, HOUSTON, TX 77008-2433
(713) 861-8191
(713) 861-5026
Mailing address
427 W 20TH ST, SUITE 700, HOUSTON, TX 77008-2433
(713) 861-8191
(713) 861-5026
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
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