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Individual

VEERABHADRA K. REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3900 JUNIUS ST, SUITE 500, DALLAS, TX 75246-1615
(214) 823-7090
(214) 823-1644
Mailing address
PO BOX 650500, DALLAS, TX 75265-0500
(214) 823-7090
(214) 823-1644

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M9603
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
M9603
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
M9603
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199780102
TX
05
199780103
TX
05
199780104
TX
01
8BP731
BCBS PAR NUMBER
TX
01
M9603
TEXAS STATE LICENSE NUMBER
TX
Enumeration date
06/07/2007
Last updated
09/27/2012
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