Individual
DR. PADMAJA GUDURU REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1450 8TH AVE, FORT WORTH, TX 76104-4110
(817) 702-8300
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
R2953
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2013
Last updated
05/07/2024
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