Provider Demographics
NPI:1417102476
Name:REDDY, ASHVINI K (MD)
Entity Type:Individual
Prefix:
First Name:ASHVINI
Middle Name:K
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:3512 PAESANOS PKWY STE 203
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1246
Mailing Address - Country:US
Mailing Address - Phone:210-780-7595
Mailing Address - Fax:210-519-3172
Practice Address - Street 1:3512 PAESANOS PKWY STE 203
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-1246
Practice Address - Country:US
Practice Address - Phone:210-780-7595
Practice Address - Fax:210-519-3172
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME112979207W00000X
TXS2156207W00000X, 207WX0108X
VA0101254691207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory Disease
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology