MEDICARE: REDMED MANAGEMENT LLC

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	261Q00000X	Clinic/Center
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1861292815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDMED MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	9900 WESTPARK DR STE 226
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5286
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9900 WESTPARK DR STE 226
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5286
Country	:	US
Telephone Number	:	872-325-3100
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	RAHUL GAJJALA
Credential	:
Telephone Number	:	872-325-3100

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	07/24/2025

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Directions to “REDMED MANAGEMENT LLC ” Practice Location

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