Reddy MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REDDY MD LLC

Practice address

3394 McKelvey Rd Ste 115
Bridgeton, MO 63044-2531

Phone

(314) 435-5641

Fax

(802) 348-3126

NPI assigned

Oct 23, 2020

Last updated

Oct 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Parthasarathi Marapareddigari, MDNPI 1487962494

Title

Owner

Phone

(314) 435-5641

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parthasarathi R. Marapareddigari, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1487962494
  NPD Authorized official

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1255930814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WILLIAMSBURG ESTATES DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311018",
            "telephone_number": "314-435-5641",
            "fax_number": "802-348-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 MCKELVEY RD STE 115",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442531",
            "telephone_number": "314-435-5641",
            "fax_number": "802-348-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "MARAPAREDDIGARI",
        "authorized_official_first_name": "PARTHASARATHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-435-5641",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487962494",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imaad Razzaque, M.D.
• Naveed Razzaque, M.D.
• Sarah Elizabeth Rebello, DC
• Heather Elizabeth Rechtin, DDS
• Theodore Anthony Rechtin III, D.D.S.
• Timothy F Reed, MD
• Tyler Reed, DPM
• Molly Reents
• Zafar Rehmani, M.D.
• Emily Jean Reinke, PHARMD

• Internal Medicine Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.