MEDICARE: MR. SREEDHAR REDDY TALLAPUREDDY M.D

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	207Q00000X	Family Medicine Physician	R1305	TX
2	207V00000X	Obstetrics & Gynecology Physician	R1305	TX
3	207V00000X	Obstetrics & Gynecology Physician	047354	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063424166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SREEDHAR REDDY TALLAPUREDDY M.D

Provider Business Mailing Address
First Line	:	931 SH 121, SUITE 2500
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-1183
Country	:	US
Telephone Number	:	469-270-6430
Fax Number	:	469-270-6431

Provider Business Practice Location Address
First Line	:	SNIGDHA OBGYN PLLC
Second Line	:	931 SH 121, SUITE 2500
City	:	ALLEN
State	:	TX
Zip	:	75013-1183
Country	:	US
Telephone Number	:	469-270-6430
Fax Number	:	469-270-6431

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	03/16/2026

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Directions to “ MR. SREEDHAR REDDY TALLAPUREDDY M.D” Practice Location

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