Sudama Reddi M.D, P.a

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

Q0815 Issued in TX

Legal business name

SUDAMA REDDI M.D, P.A

Practice address

6124 W Parker Rd
Suite 432
Plano, TX 75093-8122

Phone

(972) 403-3100

Fax

(972) 403-3105

NPI assigned

Sep 28, 2015

Organization subpart

No

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

Authorized official

Name

Sudama Reddi, M.D

Title

Member

Phone

(954) 729-9995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1962872382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "SUITE 432",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938122",
            "telephone_number": "972-403-3100",
            "fax_number": "972-403-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "SUITE 432",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938122",
            "telephone_number": "972-403-3100",
            "fax_number": "972-403-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDAMA REDDI M.D, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "REDDI",
        "authorized_official_first_name": "SUDAMA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "954-729-9995",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q0815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.