MEDICARE: DR. NAVEEN K. REDDY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	J8734	TX

General Provider Information

NPI Number	:	1023081056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAVEEN K. REDDY M.D.

Provider Business Mailing Address
First Line	:	9705 TIMBER RIDGE PASS
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78733-3138
Country	:	US
Telephone Number	:	512-462-1936
Fax Number	:	512-394-9388

Provider Business Practice Location Address
First Line	:	7900 FM 1826
Second Line	:	STE. 200
City	:	AUSTIN
State	:	TX
Zip	:	78737-1407
Country	:	US
Telephone Number	:	512-462-1936
Fax Number	:	512-394-9388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	07/08/2007

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