DR. SHANTAN G REDDY (NPI# 1689872848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689872848 |
| Entity Type | Individual |
| Full Name | DR. SHANTAN G REDDY |
| Credential | M.D. |
| Practice Address |
1415 Santa Fe St Corpus Christi TX 78404-2105 |
| Mailing Address |
919 Hidden Rdg Irving TX 75038-3813 |
| Practice Telephone | 3618850390 |
| Practice Fax Number | 3619040178 |
| Mailing Telephone | 4692822711 |
| Mailing Fax Number | 4692820996 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2017-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
P9943 | TX | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD200535 | LA | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
MD200535 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1070700 | 05 | |
| TX | 280554102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396054714 | Shantan R Reddy | Pharmacist | 35 Park St, Milo, ME 04463-1152 | 2010-10-04 |
| 1881724995 | Shantan Reddy | Ophthalmology | 1327 Butterfield Rd, Ste 618, Downers Grove, IL 60515-1078 | 2007-03-07 |
| Street Address |
1415 SANTA FE ST |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891891602 | Bonnie R Ross | Nurse Practitioner | 1415 Santa Fe St, Corpus Christi, TX 78404-2105 | 2006-09-16 |
| 1508335225 | Jennifer A Urban | Nurse Practitioner | 1415 Santa Fe St, Corpus Christi, TX 78404-2105 | 2018-11-26 |
| 1811208010 | Leslie Michelle Harrell | Radiology | 1415 Santa Fe St, Corpus Christi, TX 78404 | 2010-06-23 |
| 1992934228 | Swetha Panati | Internal Medicine | 1415 Santa Fe St, Corpus Christi, TX 78404-2105 | 2009-07-08 |
| 1154401685 | Third Coast Radiation Oncology Association | Radiology | 1415 Santa Fe St, Corpus Christi, TX 78404-2105 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| Find all providers in zip 78404 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619956596 | Yvonne Socorro Manalo | Internal Medicine | 1625 Rodd Field Rd, Suite C, Corpus Christi, TX 78412-4926 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447636857 | Carl Plager | Internal Medicine | 5151 Edloe Street, Apt. 5406, Houston, TX 77005-1187 | 2015-08-07 |
| 1730560525 | Michael Burgess | Internal Medicine | 300 Zapata Ave, Rancho Viejo, TX 78575-9654 | 2015-06-17 |
| 1861802332 | Shane Ahlers | Internal Medicine | 6037 Marquita Ave, Dallas, TX 75206 | 2014-05-05 |
| 1881018760 | Giora M. Mavligit | Internal Medicine | 2400 N. Braeswood, #211, Houston, TX 77030 | 2014-02-12 |
| 1396184354 | David Hsieh | Internal Medicine | 2201 Inwood Road 3rd Floor Nc3.500, Dallas, TX 75390 | 2013-06-22 |
| 1790124113 | William Stanley Gore | Internal Medicine | 570 Beechwood Loop, Hemphill, TX 75948-6615 | 2013-06-19 |
| 1679919963 | Olufunke Akinbobuyi | Internal Medicine | 2205 West Walker Street, League City, TX 77573 | 2013-05-14 |
| 1659715357 | Natasha Baldev Hirani | Internal Medicine | 1450 E League City Pkwy, League City, TX 77573 | 2013-04-24 |
| 1154676146 | Rossa Khalaf | Internal Medicine | 7812 Gateway Blvd E Ste 110, El Paso, TX 79915-1811 | 2012-07-17 |
| 1275808222 | Debra Louise Caudy | Internal Medicine | 6620 Golf Dr, Dallas, TX 75205-1212 | 2012-03-08 |
| Find all providers with the same taxonomy | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
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| 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.