MEDICARE: NALINI P REDDY MD

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	2085R0202X	Diagnostic Radiology Physician	L3796	TX
2	2085R0202X	Diagnostic Radiology Physician	25MA12868400	NJ

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	:	1447259700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NALINI P REDDY MD

Provider Business Mailing Address
First Line	:	9460 BELLA TERRA DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76126-1902
Country	:	US
Telephone Number	:	817-244-5685
Fax Number	:	817-244-5685

Provider Business Practice Location Address
First Line	:	9460 BELLA TERRA DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76126-1902
Country	:	US
Telephone Number	:	817-244-5685
Fax Number	:	817-244-5685

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	10/29/2025

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Directions to “ NALINI P REDDY MD” Practice Location

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