Individual
DR. JAGADESHWAR G REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 N BISHOP AVE STE 300, DALLAS, TX 75208-4176
(972) 388-1045
Mailing address
PO BOX 733382, DALLAS, TX 75373-3382
(214) 884-4700
(214) 884-4761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47261
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P3233
TX
207RP1001X
Pulmonary Disease Physician
01067092A
IN
207RP1001X
Pulmonary Disease Physician
Primary
P3233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307949301
—
TX
Enumeration date
01/20/2006
Last updated
10/09/2023
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