Individual
DR. SANGAMESHWAR REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 921-3431
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 921-3431
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L2589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149275302
—
TX
Enumeration date
07/06/2006
Last updated
07/08/2007
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