Individual
AVINASH D REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2355 E GRAPEVINE MILLS CIR, GRAPEVINE, TX 76051-2047
(972) 539-6330
(972) 539-3077
Mailing address
PO BOX 9101, COPPELL, TX 75019-9494
(972) 745-7500
(972) 471-0700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35910
TN
207Q00000X
Family Medicine Physician
Primary
Q4834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3877546
—
TN
Enumeration date
07/07/2005
Last updated
06/03/2016
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