Jyothi R Rereddy MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K6913 Issued in TX

Legal business name

JYOTHI R REREDDY MD PA

Practice address

5702 Rowlett Rd Ste 210a
Rowlett, TX 75089-7924

Phone

(972) 412-7900

Fax

(972) 412-7955

NPI assigned

Feb 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jyothi R Rereddy, MD

Title

President

Phone

(972) 412-7900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1891934295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450384",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750450384",
            "telephone_number": "972-412-7900",
            "fax_number": "972-412-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 ROWLETT RD STE 210A",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750897924",
            "telephone_number": "972-412-7900",
            "fax_number": "972-412-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYOTHI R REREDDY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "REREDDY",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-412-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Joseph, PA-C
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• Wyatt Triston Kennedy

• Internal Medicine Physician in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.