Provider Demographics
NPI:1760657449
Name:VEERAM REDDY, SURENDRANATH REDDY (MD)
Entity Type:Individual
Prefix:DR
First Name:SURENDRANATH REDDY
Middle Name:
Last Name:VEERAM REDDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 MEDICAL DISTRICT DR
Mailing Address - Street 2:CHILDRENS MEDICAL CENTER, HEART CENTER
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7701
Mailing Address - Country:US
Mailing Address - Phone:214-456-0773
Mailing Address - Fax:214-456-6154
Practice Address - Street 1:1935 MEDICAL DISTRICT DR
Practice Address - Street 2:CHILDRENS MEDICAL CENTER, HEART CENTER
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-0773
Practice Address - Fax:214-456-6154
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN60852080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology