Provider Demographics
NPI:1144223876
Name:REDDY, GEETA P (MD)
Entity Type:Individual
Prefix:DR
First Name:GEETA
Middle Name:P
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1521 S STAPLES ST
Mailing Address - Street 2:STE 601
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-3154
Mailing Address - Country:US
Mailing Address - Phone:361-887-8451
Mailing Address - Fax:361-887-6126
Practice Address - Street 1:1315 SANTA FE ST STE 102
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2242
Practice Address - Country:US
Practice Address - Phone:361-992-3500
Practice Address - Fax:361-992-3517
Is Sole Proprietor?:No
Enumeration Date:2005-05-26
Last Update Date:2020-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL8914207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166167001Medicaid
TX166167001Medicaid
8C1566Medicare ID - Type Unspecified