Sridhar P. Reddy, MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J7639 Issued in TX

Legal business name

SRIDHAR P. REDDY, MD PA

Practice address

2911 Medical Arts St Ste 9B
Austin, TX 78705-3302

Phone

(512) 474-6321

Fax

(512) 474-6324

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Sridhar P. Reddy, MD PA

Title

President

Phone

(512) 474-6321

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1386846582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST STE 9B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST STE 9B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302",
            "telephone_number": "512-474-6321",
            "fax_number": "512-474-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRIDHAR P. REDDY, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SRIDHAR",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-474-6321",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J7639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0032QS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN PROVI.ID",
            "identifier": "710200TX78705",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HLTHCARE ID",
            "identifier": "10659947533",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "2669771",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PROVIDER ID",
            "identifier": "10011874",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RR GROUP ID",
            "identifier": "DA2621",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RAILRD PROVID ID",
            "identifier": "P00042032",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie McKenzie Sprunt, M.D.
• Dana Sprute, MD
• SQ Therapy PLLC
• Laura Ann Squiers, LPC
• Elaine Squires, LCSW
• Prajna Srinivas
• Rajiv N Srinivasa, M.D.
• Deepika Srinivasan, PA-C
• Shuba Srinivasan, PA
• Bhavani D Sriramaneni, DMD

• Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.