Individual
VIJAYRAMA REDDY POREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7200 WYOMING SPRINGS DR, SUITE 1300, ROUND ROCK, TX 78681-4303
(512) 244-2273
(512) 244-3179
Mailing address
PO BOX 10597, AUSTIN, TX 78766-1597
(512) 671-7482
(512) 244-3179
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L9434
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666778-03
—
TX
01
—
8CM020
BCBS IND. NUMBER
TX
Enumeration date
08/04/2006
Last updated
09/17/2015
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