Individual
PRADEEP REDDY TATAGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 HAWK WOOD LN, PROSPER, TX 75078-2001
(270) 996-7254
(469) 526-5628
Mailing address
701 HAWK WOOD LN, PROSPER, TX 75078-2001
(469) 526-3474
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
55717
WI
2084P0800X
Psychiatry Physician
Primary
R7609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100018189
—
WI
Enumeration date
06/30/2008
Last updated
05/06/2025
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