Active NPI
Bhagwan Reddy Malladi, MD
- Psychiatry Physician
- Richmond, IN
National Provider Identifier
1386747236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01046179
- Practice address
- 498 N.W. 18TH Street
Richmond State Hospital
Richmond, IN 47374-2898 - Phone
- (765) 966-0511
- Fax
- (765) 935-9512
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01046179 | IN | Primary |
Addresses
Primary practice location
498 N.W. 18TH Street
Richmond State Hospital
Richmond, IN 47374-2898
Mailing address
1612 Pheasant Run
Richmond, IN 47374-7906
Phone (765) 935-6730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01046179 | IN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386747236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 PHEASANT RUN",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473747906",
"telephone_number": "765-935-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "498 N.W. 18TH STREET",
"address_2": "RICHMOND STATE HOSPITAL",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473742898",
"telephone_number": "765-966-0511",
"fax_number": "765-935-9512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLADI",
"first_name": "BHAGWAN",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01046179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.