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NPI Code Detail

MEDICARE: DR. RITEESHA G REDDY M.D.

MEDICARE: DR. RITEESHA G REDDY 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
1207RR0500XRheumatology PhysicianN5698TX

General Provider Information

NPI Number : 1912127572
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RITEESHA G REDDY M.D.
Provider Business Mailing Address
First Line : 3417 GASTON AVE STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75246-2031
Country : US
Telephone Number : 214-823-4800
Fax Number : 214-823-4801
Provider Business Practice Location Address
First Line : 3417 GASTON AVE STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75246-2031
Country : US
Telephone Number : 214-823-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 06/21/2022

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Directions to “ DR. RITEESHA G REDDY M.D.” Practice Location

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