DR. JAGAN S REDDY (NPI# 1811031172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811031172 |
| Entity Type | Individual |
| Full Name | DR. JAGAN S REDDY |
| Credential | MD |
| Practice Address |
1380 River Bend Dr Dallas TX 75247-4914 |
| Mailing Address |
3712 Lake Powell Dr Arlington TX 76016-4159 |
| Practice Telephone | 2147431200 |
| Practice Fax Number | 2146896482 |
| Mailing Telephone | 8175725111 |
| Mailing Fax Number | 2143310153 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2011-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G1756 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G1756 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1380 RIVER BEND DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75247-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689662678 | Dallas Metrocare Services | Counselor | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2005-10-12 |
| 1306315130 | Susan Jacob | Nurse Practitioner | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2018-11-22 |
| 1750894150 | Evita Lambert | Occupational Therapy Assistant | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2017-11-08 |
| 1174052336 | Channing Moran Anderson | Counselor | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2017-06-09 |
| 1669918488 | Esiah Allen | Nurse Practitioner | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2017-01-18 |
| 1528504412 | Orlinda Mapa | Nurse Practitioner | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2017-01-16 |
| 1356892707 | Lolade Oyetunji | Specialist/Technologist | 1380 River Bend Dr, Suite 200, Dallas, TX 75247-4914 | 2016-10-20 |
| 1265982730 | Louise Preston | Counselor | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2016-10-09 |
| 1053860148 | Oluyemi Shorunke | Nurse Practitioner | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2016-09-29 |
| 1861844359 | George Alapat | Counselor | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2016-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
| 1750916144 | Sunshine Kids Pediatric Day Center, LLC | Nursing Care | 9127-9131 King Arthur Boulevard, Dallas, TX 75247 | 2020-03-06 |
| 1740789924 | Jennifer Pauli | Nurse Practitioner | 7610 N Stemmons Fwy Ste 360, Dallas, TX 75247 | 2018-02-02 |
| 1669991097 | Kai Medical Laboratories, LLC | Pathology | 8230 Elmbrook Dr Ste 200, Dallas, TX 75247 | 2017-09-18 |
| 1174055610 | Hoa Perkins | Technician/Technologist | 1499 Regal Row Suite 505a, Dallas, TX 75247 | 2017-04-03 |
| 1376910018 | Integron LLC | Clinical Medical Laboratory | 5139 Sharp Street, Dallas, TX 75247 | 2015-08-28 |
| 1710364575 | T.e.a.m. | Community/Behavioral Health | 1140 Empire Central Blvd, 520, Dallas, TX 75247 | 2015-04-30 |
| 1093053126 | Guardian Health Systems Aurora | Pharmacy | 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 | 2013-01-24 |
| 1457665317 | Pediatric Home Healthcare, LLC | Home Health | 1341 W Mockingbird Ln Ste 245e, Dallas, TX 75247 | 2010-08-03 |
| 1275846388 | Another Chancee, Inc. | Social Worker | 1140 Empire Central Drive, Suite 260, Dallas, TX 75247 | 2010-07-17 |
| Find all providers in zip 75247 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750635405 | Edith R Fekete | Psychiatry & Neurology | 6335 W. Northwest Hwy. Apt. 1918, Dallas, TX 75225 | 2012-11-02 |
| 1215231881 | Physicians for Children | Psychiatry & Neurology | 8330 Abrams Rd Ste 112, Dallas, TX 75243-7590 | 2010-12-22 |
| 1093031924 | Vandana Sethi Rao | Psychiatry & Neurology | 4915 W Lovers Ln, Dallas, TX 75209-3139 | 2010-04-16 |
| 1902031875 | Dan Allen Myers | Psychiatry & Neurology | 5110 Tracy Street, Dallas, TX 75205 | 2009-05-21 |
| 1851574362 | Glen T Pearson | Psychiatry & Neurology | 3303 Lee Pkwy, 220, Dallas, TX 75219-5108 | 2007-12-07 |
| 1992896559 | Valerie Meshack Mosley | Psychiatry & Neurology | 3803 Boulder Dr, Dallas, TX 75233-3114 | 2006-09-27 |
| 1447356464 | Venkatalakkshmi Doniparthi | Psychiatry & Neurology | 9941 Lingo Ln, Dallas, TX 75228-3349 | 2006-09-16 |
| 1821011008 | Shashi Raj Motgi | Psychiatry & Neurology | 7502 Fair Oaks Ave, Dallas, TX 75231-5404 | 2006-07-26 |
| 1821050865 | Tyler Allen Wooten | Psychiatry & Neurology | 3500 Oak Lawn Ave, Suite 620, Dallas, TX 75219-4308 | 2006-04-05 |
| 1285696336 | Corinne Elizabeth Fribley | Psychiatry & Neurology | 7557 Rambler Rd Ste 812, Dallas, TX 75231-2366 | 2006-04-04 |
| Find all providers in DALLAS | ||||
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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.