MEDICARE: MR. ROHIT R REDDY BSN, RN

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	163WC0200X	Critical Care Medicine Registered Nurse	NONE	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NONE	OTHER	TX	NONE

General Provider Information

NPI Number	:	1609739580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROHIT R REDDY BSN, RN

Provider Business Mailing Address
First Line	:	1524 NANTUCKET DR APT B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-1945
Country	:	US
Telephone Number	:	212-729-0766
Fax Number	:

Provider Business Practice Location Address
First Line	:	1524 NANTUCKET DR APT B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-1945
Country	:	US
Telephone Number	:	212-729-0766
Fax Number	:

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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