Individual
DR. DEREDDI RAJA SHEKAR REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
106783
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
57054
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
Q5255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351011704
—
TX
01
—
351011705
CSHCN
TX
Enumeration date
07/14/2010
Last updated
06/24/2019
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