Provider Demographics
NPI:1174780621
Name:REDDY, BRIJESH V (MD)
Entity type:Individual
Prefix:DR
First Name:BRIJESH
Middle Name:V
Last Name:REDDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BRIJ
Other - Middle Name:
Other - Last Name:REDDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2802 FLINTROCK TRCE STE 215
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-1743
Mailing Address - Country:US
Mailing Address - Phone:917-603-3073
Mailing Address - Fax:
Practice Address - Street 1:2802 FLINTROCK TRCE STE 215
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-1743
Practice Address - Country:US
Practice Address - Phone:917-603-3073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.1265802085R0202X, 207U00000X
NY2595011207U00000X, 2085R0202X
NV276152085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine