BIBAS REDDY


Address: 800 W Magnolia Ave, Fort Worth, TX 76104-4611
Phone: 8177597000

BIBAS REDDY (NPI# 1457577017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457577017
Entity Type Individual
Full Name BIBAS REDDY
Credential D.O.
Practice Address 800 W Magnolia Ave
Fort Worth
TX 76104-4611
Practice Telephone 8177597000
Enumeration Date 2007-04-18
Last Update Date 2013-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
M2453 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 1934630-01 05
TX 1934630-02 05

Office Location

Street Address 800 W MAGNOLIA AVE
City FORT WORTH
State TX
Zip Code 76104-4611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306821277 Laboratory Corporation of America Clinical Medical Laboratory 800 W Magnolia Ave, Ste 210, Fort Worth, TX 76104-4611 2005-12-13
1659929933 Angela Moccia Physician Assistant 800 W Magnolia Ave, Fort Worth, TX 76104-4611 2019-08-29
1487207031 Kourtney Russo Nurse Practitioner 800 W Magnolia Ave, Fort Worth, TX 76104-4611 2019-07-23
1831750249 Renata Castelo Physician Assistant 800 W Magnolia Ave, Fort Worth, TX 76104-4611 2019-06-26
1083194039 Elise Kay Decker Physical Therapist 800 W Magnolia Ave, Fort Worth, TX 76104-4611 2018-08-20
1770093635 Nicholas Yarrobino Physician Assistant 800 W Magnolia Ave, Fort Worth, TX 76104-4611 2017-10-05
1700220183 Nabila Lehachi Waheed Radiology 800 W Magnolia Ave, Fort Worth, TX 76104 2013-04-29
1326482860 Rohan Gupta Internal Medicine 800 W Magnolia Ave, Fort Worth, TX 76104-4611 2013-04-27
1013250455 Jeremy Aaron Ross Internal Medicine 800 W Magnolia Ave, Fort Worth, TX 76104-4611 2013-04-04
1447544838 Asim Ahmad Internal Medicine 800 W Magnolia Ave, Fort Worth, TX 76104-4611 2011-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063444297 David N Barrera Internal Medicine 6500 Harris Pkwy, Fort Worth, TX 76132-4136 2006-07-07
1760441885 Asad Dean Internal Medicine 500 S Henderson St Ste 200, Fort Worth, TX 76104 2006-03-18
1205830619 Richard Alleyne Artim Internal Medicine 710 W Leuda St, Fort Worth, TX 76104-3114 2005-06-13
1063415735 Mary Milam Internal Medicine 1307 8th Ave, Suite 205, Fort Worth, TX 76104-4137 2005-05-24
1477810612 Vinh Q Trang Internal Medicine 500 S Henderson St Ste 200, Fort Worth, TX 76104 2012-04-12
1447544838 Asim Ahmad Internal Medicine 800 W Magnolia Ave, Fort Worth, TX 76104-4611 2011-06-03
1952539348 Virginia Stark-vance, M.d., P.a. Internal Medicine 1325 Pennsylvania Ave, Suite 120, Fort Worth, TX 76104-2158 2009-06-24
1174786933 Mary Milam, M.d., P.a. Internal Medicine 1307 8th Ave, Suite 205, Fort Worth, TX 76104-4137 2008-07-02
1326207838 Nicole Schrock Bartosh Internal Medicine 800 W Magnolia Ave, Fort Worth, TX 76104-4611 2008-06-09
1033386578 Texas Oncology Pa Internal Medicine 6500 Harris Pkwy, Fort Worth, TX 76132-4136 2008-05-14
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Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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