Provider Demographics
NPI:1023503331
Name:MEREDDY, PREETHI (MD)
Entity type:Individual
Prefix:
First Name:PREETHI
Middle Name:
Last Name:MEREDDY
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:HOUSTON PRIMARY CARE
Mailing Address - Street 2:1719 RUSSELL PARKWAY SUITE -700
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088
Mailing Address - Country:US
Mailing Address - Phone:478-328-7674
Mailing Address - Fax:478-328-1393
Practice Address - Street 1:1719 RUSSELL PKWY STE 700
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-5765
Practice Address - Country:US
Practice Address - Phone:478-328-7674
Practice Address - Fax:478-328-1393
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT216271207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine