Individual
GIREESH REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4100 W 15TH ST STE 110, PLANO, TX 75093-5826
(469) 573-3427
(469) 361-4361
Mailing address
4100 W 15TH ST STE 110, PLANO, TX 75093-5826
(469) 573-3427
(469) 361-4361
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3016
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
3016
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412982701
—
TX
01
—
412982702
CSHCN
TX
Enumeration date
04/12/2017
Last updated
08/19/2024
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