Provider Demographics
NPI:1043915325
Name:REDDY, MEGHANA TANGUTURI (MD)
Entity Type:Individual
Prefix:
First Name:MEGHANA
Middle Name:TANGUTURI
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 ARCHES AVE
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3557
Mailing Address - Country:US
Mailing Address - Phone:516-287-0952
Mailing Address - Fax:
Practice Address - Street 1:7211 ARCHES AVE
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3557
Practice Address - Country:US
Practice Address - Phone:516-287-0952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program