Individual
BAL T REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G6601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060047791
RAILROAD MEDICARE
TX
05
—
136714612
—
TX
01
—
84856G
BCBS
TX
01
—
8CU333
BCBS
TX
01
—
P00948217
RAILROAD
TX
Enumeration date
07/18/2005
Last updated
01/26/2022
Update your record
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