Individual
THRETHA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3226 S ALAMEDA ST, CORPUS CHRISTI, TX 78404-2508
(361) 888-6684
(361) 888-6686
Mailing address
3226 REID DR, CORPUS CHRISTI, TX 78404-2519
(361) 853-4503
(361) 853-4454
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
Q0691
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09992
—
LA
Enumeration date
05/25/2007
Last updated
07/13/2015
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