Provider Demographics
NPI:1124313283
Name:REDDY, ARHAANTH DHARAM (MD)
Entity type:Individual
Prefix:DR
First Name:ARHAANTH
Middle Name:DHARAM
Last Name:REDDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2001 N MACARTHUR BLVD
Mailing Address - Street 2:STE 450
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2294
Mailing Address - Country:US
Mailing Address - Phone:972-259-3221
Mailing Address - Fax:972-259-2477
Practice Address - Street 1:6124 W PARKER RD STE 530
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8140
Practice Address - Country:US
Practice Address - Phone:214-778-1075
Practice Address - Fax:214-778-1237
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011016797207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine