Organization
S B REDDY M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVASA BAKKANNAGARI M.D. (OWNER)
(512) 636-9483
Entity
Organization
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 476-7111
Mailing address
PO BOX 81337, AUSTIN, TX 78708-1337
(512) 636-9483
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
L1523
TX
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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