Tiyyagura S Reddy MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

TIYYAGURA S REDDY MD PA

Practice address

7614 Jacque Rd Ste B
Hudson, FL 34667-7195

Phone

(727) 863-2105

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Tiyyagura S Reddy, MD

Title

Owner / Provider

Phone

(727) 863-2105

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1114939410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21767",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336221767",
            "telephone_number": "727-823-2188",
            "fax_number": "727-823-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7614 JACQUE RD STE B",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677195",
            "telephone_number": "727-863-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIYYAGURA S REDDY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "TIYYAGURA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "727-863-2105",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Hudson, FL
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• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.