SUDAMA REDDI M.D, P.A (NPI# 1962872382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962872382 |
| Entity Type | Organization |
| Organization Name | SUDAMA REDDI M.D, P.A |
| Practice Address |
6124 W Parker Rd Suite 432 Plano TX 75093-8122 |
| Practice Telephone | 9724033100 |
| Practice Fax Number | 9724033105 |
| Mailing Telephone | 9724033100 |
| Mailing Fax Number | 9724033105 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Authorized Official Name | SUDAMA REDDI (MEMBER) |
| Authorized Official Telephone | 9547299995 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Q0815 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
6124 W PARKER RD SUITE 432 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246808 | Dean A Cione | Surgery | 6124 W Parker Rd, Ste 436, Plano, TX 75093-8125 | 2005-06-21 |
| 1013491430 | Joel D Campbell, M.d., P.a. | Psychiatry & Neurology | 6124 W Parker Rd, Suite 432, Plano, TX 75093-8124 | 2018-09-21 |
| 1417409111 | Julianne Santarosa Md Pllc | Surgery | 6124 W Parker Rd, Suite 436, Plano, TX 75093-8122 | 2016-10-28 |
| 1295287381 | Angela M Watson, Md, Pa | Obstetrics & Gynecology | 6124 W Parker Rd, Ste 134, Plano, TX 75093-8122 | 2016-10-25 |
| 1609226786 | Shelbie Kristine Reed | Physician Assistant | 6124 W Parker Rd, Suite 234, Plano, TX 75093-8122 | 2016-06-20 |
| 1003238056 | Pediatric Endocrinology of North Texas, Pllc | Clinic/Center | 6124 W Parker Rd, Medical Office Building 3, Suite #330, Plano, TX 75093-8122 | 2014-01-10 |
| 1487082061 | Kyler E Elwell Md Pa | Obstetrics & Gynecology | 6124 W Parker Rd, Ste 134, Plano, TX 75093-8122 | 2013-10-17 |
| 1285980953 | West Plano Diabetes and Endocrine Center, P.a. | Internal Medicine | 6124 W Parker Rd, Suite 332, Plano, TX 75093-8122 | 2012-07-31 |
| 1730443805 | Michael A Deck Md Pa | Clinical Medical Laboratory | 6124 W Parker Rd, Suite G36, Plano, TX 75093-8122 | 2012-07-03 |
| 1437439528 | Rachael Lien Yeoman | Nurse Practitioner | 6124 W Parker Rd, Suite 560, Plano, TX 75093-8122 | 2011-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104245992 | Joel Campbell | Psychiatry & Neurology | 6124 W Parker Rd Ste 432, Plano, TX 75093-8124 | 2014-04-09 |
| 1700010303 | Willowbend Neurology, Pa | Psychiatry & Neurology | 4100 W. 15th Street, Suite 206, Plano, TX 75093-5801 | 2009-05-11 |
| 1356365860 | Richard Mitchell Dasheiff | Psychiatry & Neurology | 3609 Spring Mountain Dr, Plano, TX 75025-4367 | 2006-07-27 |
| 1265476154 | Daniel J Hopson | Psychiatry & Neurology | 2800 N Dallas Pkwy, #210, Plano, TX 75093-5993 | 2006-06-15 |
| 1477502235 | Geeta Rajan | Psychiatry & Neurology | 4601 Old Shepard Pl # 406, Plano, TX 75093-5279 | 2006-05-09 |
| 1801854914 | Randi Herbolario Baculi | Psychiatry & Neurology | 2504 Figtree Ln, Plano, TX 75074-4858 | 2006-05-01 |
| 1003884511 | Plano Neurology, Pa | Psychiatry & Neurology | 4601 Old Shepard Pl, #406, Plano, TX 75093-5279 | 2006-03-09 |
| 1689677056 | Michael R Seals | Psychiatry & Neurology | 6130 W Parker Rd, Mob 1 Ste 103, Plano, TX 75093-7901 | 2005-05-31 |
| 1912900580 | Mark E Pretorius | Psychiatry & Neurology | 5201 Corinthian Bay Dr, Plano, TX 75093-4028 | 2005-05-27 |
| 1013491430 | Joel D Campbell, M.d., P.a. | Psychiatry & Neurology | 6124 W Parker Rd, Suite 432, Plano, TX 75093-8124 | 2018-09-21 |
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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.