Tunga Trishul Reddy, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

50548 Issued in TN

Practice address

415 Broad St
Suite 410
Kingsport, TN 37660-4263

Phone

(423) 747-1240

NPI assigned

Jul 21, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1336379502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BROAD ST",
            "address_2": "SUITE 410",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604263",
            "telephone_number": "423-747-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BROAD ST",
            "address_2": "SUITE 410",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604263",
            "telephone_number": "423-747-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "TUNGA",
        "middle_name": "TRISHUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "0101251941",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TN",
            "license": "50548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rathbun, BCBA
• Kara Lynn Ratliff, PA
• Jami Lynn Reaves, DO
• Lovett P Reddick, MD
• Satvik Punuru Reddy, DO
• Janice Carol Redmond, CRNA
• Richard K Reed, MD
• Wendi Michelle Reed, BA
• Sandra Jennine Reese
• Regional Allergy & Asthma Center, PC

• Emergency Medical Services (Emergency Medicine) Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.