Ut Southwestern Medical Center

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

UT SOUTHWESTERN MEDICAL CENTER

Practice address

5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7200

Phone

(214) 648-3433

NPI assigned

Apr 17, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Madhusudan Venkata Reddy, MDNPI 1285479014

Title

Clinical Fellow

Phone

(734) 217-7129

Specialties & licenses 1

Addresses

Practitioners 1

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

• Madhusudan Venkata Reddy, MBBS

  • Diagnostic Radiology Physician
  • Ann Arbor, MI
  • NPI 1285479014

  Student in an Organized Health Care Education/Training Program

  NPD Authorized official

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1811742539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD STOP 7200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907200",
            "telephone_number": "214-648-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD STOP 7200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907200",
            "telephone_number": "214-648-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UT SOUTHWESTERN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MADHUSUDAN",
        "authorized_official_middle_name": "VENKATA",
        "authorized_official_title_or_position": "CLINICAL FELLOW",
        "authorized_official_telephone_number": "734-217-7129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ut Southwestern Medical Center
• Ut Southwestern Medical Center
• Ut Southwestern Medical Center
• Ut Southwestern Medical Center
• Ut Southwestern Medical Center
• Ut Southwestern Medical Center
• Ut Southwestern Medical Center at Dallas
• Joshua Bryan Utay, CPO, LPO
• Netanya Sandler Utay, MD
• Stacy Miller Utay, MS, CGC

• Student in an Organized Health Care Education/Training Program in Dallas, TX
• Providers in Dallas, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.