Healthcare Provider Details

I. General information

NPI: 1922193150
Provider Name (Legal Business Name): NALINI NARAYANA REDDY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NALINI NARAYANA REDDY

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 U OF A WAY
TEXARKANA AR
71854-1419
US

IV. Provider business mailing address

4301 W MARKHAM ST # 783
LITTLE ROCK AR
72205-7101
US

V. Phone/Fax

Practice location:
  • Phone: 870-779-6000
  • Fax: 870-779-6050
Mailing address:
  • Phone: 501-686-8000
  • Fax: 501-526-5148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-18466
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: