PRAVEEN A REDDY (NPI# 1831539964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831539964 |
| Entity Type | Individual |
| Full Name | PRAVEEN A REDDY |
| Credential | PA |
| Practice Address |
801 W 1st St San Juan TX 78589-2276 |
| Mailing Address |
3602 Wolf Dr Edinburg TX 78541-1306 |
| Practice Telephone | 2039523230 |
| Mailing Telephone | 2039523230 |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2017-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316988090 | Praveen Jada Kumar Reddy | Internal Medicine | 5400 Kell West Blvd, Wichita Falls, TX 76310-1610 | 2006-06-10 |
| 1255301842 | Praveen K Reddy | Orthopaedic Surgery | 721 River Dr., Suite B, Fort Bragg, CA 95437-5403 | 2006-01-25 |
| 1720060775 | Praveen B Reddy | Neurological Surgery | 1725 Se 28th Loop Ste 102, Ocala, FL 34471-5328 | 2005-11-16 |
| 1164769493 | Praveen D Reddy | Pharmacist | 5742 E Mockingbird Ln, Dallas, TX 75206-5422 | 2013-01-07 |
| 1184933319 | Praveen P Reddy | Pharmacist | 1 Millenium Dr, Willingboro, NJ 08046-1000 | 2010-10-05 |
| 1457663338 | Praveen K Reddy | Hospitalist | 267 Grant St, Bridgeport, CT 06610-2805 | 2010-07-08 |
| 1306028055 | Praveen Kumar Reddy | Physical Therapist | 16200 Hubbard Dr, Dearborn, MI 48126-4155 | 2007-12-04 |
| 1124093851 | Praveen C Reddy | Radiology | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2006-02-17 |
| Street Address |
801 W 1ST ST |
| City | SAN JUAN |
| State | TX |
| Zip Code | 78589-2276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447232301 | Carolyn Huff | Dentist | 801 W 1st St, San Juan, TX 78589 | 2005-11-16 |
| 1316456098 | Rosa Alidya Vallejo-loza | Nurse Practitioner | 801 W 1st St, San Juan, TX 78589 | 2017-09-25 |
| 1104275502 | Karina Pena | Physician Assistant | 801 W 1st St, San Juan, TX 78589-2276 | 2016-06-07 |
| 1043666282 | Janet Salinas | Counselor | 801 W 1st St, San Juan, TX 78589-2276 | 2016-05-06 |
| 1629431721 | Veronica Gonzalez | Counselor | 801 W 1st St, San Juan, TX 78589-2276 | 2016-04-05 |
| 1760884118 | Stephen Junior Martinez | Physician Assistant | 801 W 1st St, San Juan, TX 78589-2276 | 2014-09-17 |
| 1598179574 | Andrea Delgado | Dietitian, Registered | 801 W 1st St, San Juan, TX 78589-2276 | 2014-06-17 |
| 1558782920 | Michele Marie Jackson | Nurse Practitioner | 801 W 1st St, San Juan, TX 78589 | 2014-01-02 |
| 1821430745 | Geminis Pena | Nutritionist | 801 W 1st St, San Juan, TX 78589-2276 | 2013-07-19 |
| 1962845685 | Monica Marie Javier-reyna | Physician Assistant | 801 W 1st St, San Juan, TX 78589 | 2013-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417598814 | Nueva Vida Primary Home Care LLC | In Home Supportive Care | 213 W. Business 83, San Juan, TX 78589 | 2019-10-07 |
| 1396207858 | Heart To Heart Talks, LLC | Counselor | 409 W. Fm 495, San Juan, TX 78589 | 2019-04-03 |
| 1386131209 | L4 Family Investments, LLC. | Technician | 1709 S Stewart Rd, San Juan, TX 78589 | 2018-04-16 |
| 1558741553 | Paraiso Dental Pllc | Clinic/Center | 1618 N Veterans Blvd Suite A, San Juan, TX 78589 | 2015-06-04 |
| 1811325970 | Liquid Dental, Pllc | Dentist | 105 South Cesar Chavez Road, Suite #2, San Juan, TX 78589 | 2013-10-28 |
| 1598021966 | Kids Dental & Orthodontics | Dentist | 1618 N. I Road Suite A, San Juan, TX 78589 | 2012-04-10 |
| 1003180704 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 100 E Fm 495, San Juan, TX 78589 | 2012-02-28 |
| 1598074932 | Chukwunonso Jideofor Azikiwe | Physical Therapy Assistant | 407 W. State Hwy 495, San Juan, TX 78589 | 2010-10-04 |
| 1093044539 | Melissa Rivera Dds Pa | Dentist | 4500 N Raul Longoria Street, San Juan, TX 78589 | 2009-12-11 |
| 1598995607 | Marivel Lydia Cavazos | Nurse Practitioner | 1211 N. Raul Longoria Ra. Ste C, San Juan, TX 78589 | 2009-07-23 |
| Find all providers in zip 78589 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542665 | Lesly Estriplet | Physician Assistant | Gm Group Plaza, 1590 Calle Juan Ponce De Leon, San Juan, PR 00926 | 2019-08-08 |
| 1225271828 | Rapidcliniccsp | Physician Assistant | 112 Calle Arzuaga Ste 605, San Juan, PR 00925-3316 | 2009-04-13 |
| 1063581981 | Peter Rodriguez | Physician Assistant | Hangar 21, Isla Grande, San Juan, PR 00902 | 2006-11-07 |
| 1861427130 | Aristides Ramos | Physician Assistant | Jesus T Pinero Ave 1618, San Juan, PR 00921-1423 | 2006-07-12 |
| 1275930950 | Arianna Ryan | Physician Assistant | 1205 N Raul Longoria Rd, San Juan, TX 78589-3720 | 2014-11-25 |
| 1760884118 | Stephen Junior Martinez | Physician Assistant | 801 W 1st St, San Juan, TX 78589-2276 | 2014-09-17 |
| 1245658269 | Juan Miguel Villarreal | Physician Assistant | 1229 S Veterans Blvd, San Juan, TX 78589 | 2014-04-07 |
| 1851732861 | Josue Droz-leandry | Physician Assistant | 10 Calle Casia, San Juan, PR 00921-3200 | 2013-07-08 |
| 1265763874 | Jessica Ledesma Saenz | Physician Assistant | 3006 N Raul Longoria Rd, San Juan, TX 78589-3676 | 2010-01-21 |
| 1508010075 | Esteban Palacios Jr. | Physician Assistant | 1205 N Raul Longoria Rd, San Juan, TX 78589-3720 | 2008-11-11 |
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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.