Individual
RATHIDEVI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16901 DALLAS PKWY STE 106, ADDISON, TX 75001
(214) 369-5522
(214) 369-5327
Mailing address
16901 DALLAS PKWY STE 106, ADDISON, TX 75001-5236
(214) 369-5522
(214) 369-5327
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
J5874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12758108
—
TX
Enumeration date
06/03/2006
Last updated
10/19/2023
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