Provider Demographics
NPI:1659631117
Name:CHITTIREDDY, ZOYA KUMARI
Entity Type:Individual
Prefix:DR
First Name:ZOYA
Middle Name:KUMARI
Last Name:CHITTIREDDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7622 YAUPON DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-6409
Mailing Address - Country:US
Mailing Address - Phone:973-706-5988
Mailing Address - Fax:
Practice Address - Street 1:7622 YAUPON DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6409
Practice Address - Country:US
Practice Address - Phone:973-706-5988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036154726207R00000X
TXQ5370207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX437547YM8AMedicare PIN