MEDICARE: DR. NAGAKRISHNA 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	207V00000X	Obstetrics & Gynecology Physician	207V00000X	TX

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
3	8R1760	OTHER	TX	BCBS INDIVIDUAL

General Provider Information

NPI Number	:	1841362233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAGAKRISHNA REDDY MD

Provider Business Mailing Address
First Line	:	2115 STEPHENS PL
Second Line	:	SUITE 1210
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-2132
Country	:	US
Telephone Number	:	830-626-6810
Fax Number	:	830-629-5001

Provider Business Practice Location Address
First Line	:	2115 STEPHENS PL
Second Line	:	SUITE 1210
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-2132
Country	:	US
Telephone Number	:	830-626-6810
Fax Number	:	830-629-5001

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	07/21/2014

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