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General NPI Number Information
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NPI Number | 1326003641
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Entity Type | Individual
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Provider Name | SUNIL K REDDY MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 1501 RIVER POINTE DR STE 220
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City | CONROE
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State | TX
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Zip | 77304-2861
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Country | US
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Telephone | 936-756-8144
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Fax | 936-494-1881
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Provider Business Mailing Address
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Address Line | 1501 RIVER POINTE DR STE 220
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City | CONROE
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State | TX
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Zip | 77304-2861
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Country | US
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Telephone | 936-756-8144
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Fax | 936-494-1881
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | J4984
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License Number State | TX
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