MEDICARE: VEENA 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	207R00000X	Internal Medicine Physician	036-127014	IL
2	207RA0000X	Adolescent Medicine (Internal Medicine) Physician	31298	SC
3	207RA0000X	Adolescent Medicine (Internal Medicine) Physician	Q5713	TX
4	207R00000X	Internal Medicine Physician	Q5713	TX
5	207RA0000X	Adolescent Medicine (Internal Medicine) Physician	12504967	IL

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

General Provider Information

NPI Number	:	1487829057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VEENA REDDY MD

Provider Business Mailing Address
First Line	:	7012 SCHUBERT
Second Line	:
City	:	COLLEYVILLE
State	:	TX
Zip	:	76034-1485
Country	:	US
Telephone Number	:	217-714-4224
Fax Number	:

Provider Business Practice Location Address
First Line	:	11801 SOUTH FWY
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-7021
Country	:	US
Telephone Number	:	817-565-5955
Fax Number	:

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

Provider Enumeration Date	:	04/24/2008
Last Update Date	:	04/08/2026

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Directions to “ VEENA REDDY MD” Practice Location

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