Provider Demographics
NPI:1821309964
Name:KAITHA, SINDHU REDDY (MD)
Entity Type:Individual
Prefix:
First Name:SINDHU
Middle Name:REDDY
Last Name:KAITHA
Suffix:
Gender:F
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:PO BOX 2129
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79760-2129
Mailing Address - Country:US
Mailing Address - Phone:432-640-3007
Mailing Address - Fax:432-640-2708
Practice Address - Street 1:540 W 5TH ST STE 300
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-5035
Practice Address - Country:US
Practice Address - Phone:432-640-3007
Practice Address - Fax:432-640-2708
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7215207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology