NPIMap

Organization Active NPI

Malladi and Reddy P.a.

Doing business as Anesthesia at Malladi and Reddy P.A.

  • Certified Registered Nurse Anesthetist
  • Lufkin, TX
National Provider Identifier
1497010276
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MALLADI AND REDDY P.A.
Doing business as
Anesthesia at Malladi and Reddy P.A.
Practice address
319 Gaslight Blvd
Lufkin, TX 75904-3124
Phone
(936) 634-3713
NPI assigned
Jul 9, 2012
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Raghuveer ReddyNPI 1619979101
Title
MD, Owner
Phone
(936) 634-3713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

319 Gaslight Blvd
Lufkin, TX 75904-3124

Mailing address

319 Gaslight Blvd
Lufkin, TX 75904-3124
Phone (936) 634-3713

Other names 1

  • Anesthesia at Malladi and Reddy P.A. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anesthesia at Malladi and Reddy PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

319 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 634-3713

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1497010276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043124",
            "telephone_number": "936-634-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043124",
            "telephone_number": "936-634-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLADI AND REDDY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RAGHUVEER",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "936-634-3713"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anesthesia at Malladi and Reddy P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.