Organization
INFECTIOUS DISEASES ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KESHAVA C REDDY MD (MD)
(409) 892-6099
Entity
Organization
Contact information
Practice address
3030 NORTH ST, SUITE 460, BEAUMONT, TX 77702
(409) 892-6099
(409) 892-2210
Mailing address
3030 NORTH ST, SUITE 460, BEAUMONT, TX 77702
(409) 892-6099
(409) 892-2210
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
J4983
TX
207RI0200X
Infectious Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00073N
BLUE CROSS BLUE SHIELD
TX
05
—
079781301
—
TX
Enumeration date
10/06/2006
Last updated
01/04/2012
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