Organization
SRINIVAS REDDY CHITTI MD PA
Active
Other names
Professional Association
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS REDDY CHITTI MD (OWNER)
(915) 633-9317
Entity
Organization
Contact information
Practice address
10501 VISTA DEL SOL DR, SUITE 210, EL PASO, TX 79925-7940
(915) 633-9317
(915) 633-8676
Mailing address
10501 VISTA DEL SOL DR, SUITE 210, EL PASO, TX 79925-7940
(915) 633-9317
(915) 633-8676
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L0085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00734W
MEDICARE
—
Enumeration date
08/02/2005
Last updated
10/14/2014
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