MEDICARE: NEELEMA REDDY PINNAPUREDDY DO

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	207RH0003X	Hematology & Oncology Physician	N8970	TX
2	207RX0202X	Medical Oncology Physician	N8970	TX

General Provider Information

NPI Number	:	1750541900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEELEMA REDDY PINNAPUREDDY DO

Provider Business Mailing Address
First Line	:	800 W MAGNOLIA AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4611
Country	:	US
Telephone Number	:	817-759-7000
Fax Number	:	817-882-8053

Provider Business Practice Location Address
First Line	:	7415 LAS COLINAS BLVD STE 100
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7569
Country	:	US
Telephone Number	:	214-379-2700
Fax Number	:	972-869-3875

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

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	06/25/2021

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