Provider Demographics
NPI:1689712945
Name:BYREDDY, ANITHA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:ANITHA
Middle Name:
Last Name:BYREDDY
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2490
Mailing Address - Country:US
Mailing Address - Phone:469-316-2919
Mailing Address - Fax:972-767-4374
Practice Address - Street 1:6565 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 225
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2490
Practice Address - Country:US
Practice Address - Phone:469-316-2919
Practice Address - Fax:972-767-4374
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP15928207RN0300X
TXN7908207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology