Provider Demographics
NPI:1265668982
Name:BHEEMREDDY, JAHNAVI (MD)
Entity Type:Individual
Prefix:
First Name:JAHNAVI
Middle Name:
Last Name:BHEEMREDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18414 US HIGHWAY 281 N
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-7610
Mailing Address - Country:US
Mailing Address - Phone:210-495-0224
Mailing Address - Fax:210-495-0343
Practice Address - Street 1:711 NAVARRO ST FL 6
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-1711
Practice Address - Country:US
Practice Address - Phone:210-495-0224
Practice Address - Fax:210-247-9326
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN3500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGMedicaid
TXPENDINGMedicare PIN