Provider Demographics
NPI:1578881751
Name:REDDY, HIMA BINDU T
Entity Type:Individual
Prefix:DR
First Name:HIMA BINDU
Middle Name:T
Last Name:REDDY
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:HIMA BINDU
Other - Middle Name:T
Other - Last Name:REDDY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:508 W MCDERMOTT DR #100
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013
Mailing Address - Country:US
Mailing Address - Phone:214-222-9108
Mailing Address - Fax:
Practice Address - Street 1:508 W MC DERMOTT DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013
Practice Address - Country:US
Practice Address - Phone:214-222-9108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS038288122300000X
DCDEN1001215122300000X
TX28546122300000X
NJ22DI024331001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice