Organization Active NPI

Malladi S Reddy, MD, Facc, PA

  • Clinic/Center
  • Baytown, TX
National Provider Identifier
1548487572
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
J3885 Issued in TX
Legal business name
MALLADI S REDDY, MD, FACC, PA
Practice address
4201 Garth Rd
Suite 315
Baytown, TX 77521-3167
Phone
(281) 420-6000
Fax
(281) 420-9000
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Dr. Malladi S Reddy, MD
Title
Doctor of Medicine
Phone
(281) 420-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X J3885 TX Primary

Addresses

Primary practice location

4201 Garth Rd
Suite 315
Baytown, TX 77521-3167

Mailing address

4201 Garth Rd
Suite 315
Baytown, TX 77521-3167
Phone (281) 420-6000

Other names 1

  • MALLADI S REDDY, MD,FACC Doing business as

National Provider Directory

National Provider Directory

Locations

4201 Garth Rd
Ste 315
Baytown, TX 77521
Phone (281) 420-6000

2045 Space Park Dr
Ste 180
Houston, TX 77058
Phone (281) 333-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1548487572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD",
            "address_2": "SUITE 315",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213167",
            "telephone_number": "281-420-6000",
            "fax_number": "281-420-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD",
            "address_2": "SUITE 315",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213167",
            "telephone_number": "281-420-6000",
            "fax_number": "281-420-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLADI S REDDY, MD, FACC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MALLADI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR OF MEDICINE",
        "authorized_official_telephone_number": "281-420-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "J3885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MALLADI S REDDY, MD,FACC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.