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MALLADI & REDDY PA NPI 1508986373


NPI Information

NPI: 1508986373
Provider Name: MALLADI & REDDY, PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 45D0483901

Address:
319 GASLIGHT BLVD
LUFKIN, TX
ZIP 75904
Phone: (936) 634-3713
Get Directions

MALLADI & REDDY, PA is a gastroenterology internal medicine in Lufkin, TX. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. MALLADI & REDDY, PA NPI is 1508986373. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

319 GASLIGHT BLVD
LUFKIN, TX
ZIP 75904-124
Phone: (936) 634-3713
Fax: (936) 634-8136

The provider's authorized official is Bhagvan Reddy Malladi .
The authorized official title is Owner and has the following contact phone number (936) 634-3713.

The CLIA number assigned to this NPI record is 45D0483901 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 4/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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