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Individual

DR. SUNIL K REDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 RIVER POINTE DR, STE 220, CONROE, TX 77304-2861
(936) 756-8144
(936) 494-1881
Mailing address
1501 RIVER POINTE DR, STE 220, CONROE, TX 77304-2861
(936) 756-8144
(936) 494-1881

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J4984
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00L50H
BLUE CROSS BLUE SHIELD
TX
05
099310701
TX
01
100006999
RAILROAD MEDICARE
TX
Enumeration date
04/19/2006
Last updated
08/06/2013
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