Provider Demographics
NPI:1184186850
Name:SUHA REDDY, DDS.,PLLC
Entity Type:Organization
Organization Name:SUHA REDDY, DDS.,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUHA
Authorized Official - Middle Name:SINI
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-852-3777
Mailing Address - Street 1:20035 W LAKE HOUSTON PKWY STE 600
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3459
Mailing Address - Country:US
Mailing Address - Phone:281-852-3777
Mailing Address - Fax:
Practice Address - Street 1:20035 W LAKE HOUSTON PKWY STE 600
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77346-3459
Practice Address - Country:US
Practice Address - Phone:281-852-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental