NPI Code Detail JSON Logo

1225298391 NPI number — SANTOSH R REDDY MD

NPI Number: 1225298391
Health Care Provider/Practitioner: SANTOSH R REDDY MD

Information about “1225298391” NPI (SANTOSH R REDDY MD) exists in 1225298391 in HTML format HTML  |  1225298391 in plain Text format TXT  |  1225298391 in PDF (Portable Document Format) PDF  |  1225298391 in an XML format XML  formats.

NPI Number : 1225298391 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225298391",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REDDY",
    "FirstName": "SANTOSH",
    "MiddleName": "R",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "17002 GLENEAGLE DR. SOUTH",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONROE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77385",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-447-7123",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "17002 GLENEAGLE DR. SOUTH",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONROE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77385",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-936-1224",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/12/2008",
    "LastUpdateDate": "08/05/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "14102",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "Q6690",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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