Shanthi G Reddy MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J3587 Issued in TX

Legal business name

SHANTHI G REDDY MD PA

Doing business as

Dr Shanthi G Reddy

Practice address

1233 S Main St
Lumberton, TX 77657-7390

Phone

(409) 755-3600

Fax

(409) 755-4443

NPI assigned

Apr 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shanthi G Reddy, MD PA

Title

Physician

Phone

(409) 755-3600

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• DR SHANTHI G REDDY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114244845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 S MAIN ST",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577390",
            "telephone_number": "409-755-3600",
            "fax_number": "409-755-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 S MAIN ST",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577390",
            "telephone_number": "409-755-3600",
            "fax_number": "409-755-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTHI G REDDY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SHANTHI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "409-755-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "8F24399",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI -INDIVIDUAL",
            "identifier": "1134127681",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "J3587",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "0A6210",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1114244845",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR SHANTHI G REDDY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Hernandez Sanchez, LPC, PLP
• Brian Hashem Sayyad, D.C
• Shyloa Starre Seaman
• William Tyson Sellers, PT
• Janet Sewell, N.P.
• Elise Shellenberger, NP
• Abhishek Shetty, DMD
• Christie R Shoemaker, APRN
• Hollie R Sikes, MSN, RN, FNPC
• Gurvinder Singh, PHARMD

• Family Medicine Physician in Lumberton, TX
• Providers in Lumberton, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.