Individual
MADHUKANTH T. REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6551 HARRIS PKWY STE 110, FORT WORTH, TX 76132
(817) 370-3444
Mailing address
8528 DAVIS BLVD SITE 134-359, NORTH RICHLAND HILLS, TX 76182
(817) 370-3444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01057549A
IN
207RI0200X
Infectious Disease Physician
01057549A
IN
207RI0200X
Infectious Disease Physician
Primary
S1900
TX
208M00000X
Hospitalist Physician
01057549A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356319990
NPI INDIVIDUAL
TX
05
—
200439870
—
IN
05
—
200439870A
—
IN
Enumeration date
03/09/2006
Last updated
12/06/2019
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