Provider Demographics
NPI:1235199621
Name:REDDY, HARI (DO)
Entity Type:Individual
Prefix:
First Name:HARI
Middle Name:
Last Name:REDDY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W MAIN ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-8000
Mailing Address - Country:US
Mailing Address - Phone:972-747-7007
Mailing Address - Fax:972-747-7006
Practice Address - Street 1:515 W MAIN ST
Practice Address - Street 2:SUITE 111
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-8000
Practice Address - Country:US
Practice Address - Phone:972-747-7007
Practice Address - Fax:972-747-7006
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4669207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI17543Medicare UPIN