REDDIAH BABU MUMMANENI (NPI# 1568516987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568516987 |
| Entity Type | Individual |
| Full Name | REDDIAH BABU MUMMANENI |
| Credential | M.D. |
| Practice Address |
1401 Medical Pkwy Bldg B Ste 313 Cedar Park TX 78613-7763 |
| Mailing Address |
1401 Medical Pkwy Ste 412 Cedar Park TX 78613-5015 |
| Practice Telephone | 5125287202 |
| Practice Fax Number | 5123417204 |
| Mailing Telephone | 5125287202 |
| Mailing Fax Number | 5123417204 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
P4210 | TX | Allopathic & Osteopathic Physicians |
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
P4210 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1401 MEDICAL PKWY BLDG B STE 313 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-7763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713933 | Aubrey Chad Hartmann | Dermatology | 1401 Medical Pkwy, Building B, Suite 300, Cedar Park, TX 78613-7464 | 2005-10-06 |
| 1255959862 | Karin Elizabeth Salinas | Dietitian, Registered | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2020-07-09 |
| 1184248585 | Tessa James | Dietitian, Registered | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2020-06-01 |
| 1396371753 | Monica Satasia | Pharmacist | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2020-03-18 |
| 1972133965 | Rachel N Woolley | Registered Nurse | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2020-01-19 |
| 1154961191 | Shelley Katherine Cogdell | Emergency Medicine | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2020-01-07 |
| 1932680055 | Kerstin Holl Gillespie | Psychiatry & Neurology | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2018-08-27 |
| 1083191886 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 1401 Medical Pkwy, Bldg B, Ste 220, Cedar Park, TX 78613-7464 | 2018-07-24 |
| 1023522554 | Usacs Critical Care Medicine Services of Texas, Pllc | Internal Medicine | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2017-11-20 |
| 1801300322 | Usacs Integrated Acute Care Services of Texas, Pllc | Internal Medicine | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2017-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| 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 |
|---|---|---|---|---|
| 1538343769 | Arpita V Patel | Psychiatry & Neurology | 1401 Medical Pkwy Ste 412, Cedar Park, TX 78613-5015 | 2007-12-24 |
| 1932680055 | Kerstin Holl Gillespie | Psychiatry & Neurology | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2018-08-27 |
| 1619137015 | Lakshmi Mukundan | Psychiatry & Neurology | 1401 Medical Pkwy Ste 412, Cedar Park, TX 78613-5015 | 2008-06-10 |
| 1558543199 | Georgetown Neurology Pa | Psychiatry & Neurology | 11901 W Parmer Ln, Ste 300, Cedar Park, TX 78613-7654 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059230 | Alla Al-habib Md Pllc | Psychiatry & Neurology | 981 Sh 121, Suite 3100, Allen, TX 75013 | 2020-09-25 |
| 1427669712 | Nerve Track, Pllc | Psychiatry & Neurology | 17503 La Cantera Pkwy Ste 104-416, San Antonio, TX 78257-8207 | 2020-08-11 |
| 1013535020 | Pearland Neurology Services, Pllc | Psychiatry & Neurology | 11914 Astoria Blvd Ste 400, Houston, TX 77089-6049 | 2020-07-07 |
| 1881219384 | Pankhuri Banerjee | Psychiatry & Neurology | 301 University Blvd. -jsa 9.128, Galveston, TX 77555-0539 | 2020-06-10 |
| 1184247371 | Integris Neuro Group LLC | Psychiatry & Neurology | 2012 Justin Rd Ste 200-a, Highland Village, TX 75077-7193 | 2020-05-21 |
| 1265055685 | Schweta Parag Rane | Psychiatry & Neurology | 301 University Blvd. - Jsa9. 128, Galveston, TX 77555-0539 | 2020-05-20 |
| 1477175214 | Vijaya Lakshmi Valaparla | Psychiatry & Neurology | Utmb - Neurology - Jsa 9.128 - Rt. 0539, 301 University Blvd, Galveston, TX 77555-0539 | 2020-05-14 |
| 1548895386 | Robert William Bastien | Psychiatry & Neurology | 602 Catalina Cove Ln, La Marque, TX 77568-6577 | 2020-03-11 |
| 1740823772 | Epilepsy and Neurology Care Specialists Pllc | Psychiatry & Neurology | 2406 Stirling Ave, Edinburg, TX 78539-2706 | 2019-10-22 |
| 1235797226 | Apollo Monitoring Services, LLC | Psychiatry & Neurology | 1100 Glade Rd, Colleyville, TX 76034-4227 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
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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.