Individual
DR. GUDURU RAMANA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2614 E BANKHEAD HWY, WEATHERFORD, TX 76087-9558
(817) 341-8646
(817) 341-7270
Mailing address
2614 E BANKHEAD HWY, WEATHERFORD, TX 76087-9558
(817) 341-8646
(817) 341-7270
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G2824
TX
207RI0011X
Interventional Cardiology Physician
G2824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137429002
—
TX
01
—
8A0420
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/28/2006
Last updated
09/15/2023
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