Provider Demographics
NPI:1285809657
Name:RAMIREDDY, HIMABINDU (MD)
Entity type:Individual
Prefix:
First Name:HIMABINDU
Middle Name:
Last Name:RAMIREDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HIMABINDU
Other - Middle Name:
Other - Last Name:ADAPALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:446 MID CITIES BLVD
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-2430
Mailing Address - Country:US
Mailing Address - Phone:817-479-0050
Mailing Address - Fax:817-479-0054
Practice Address - Street 1:446 MID CITIES BLVD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-2430
Practice Address - Country:US
Practice Address - Phone:817-479-0050
Practice Address - Fax:817-479-0054
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1091207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX199469102Medicaid
TX8DW594OtherBCBS
TXP01307422OtherRAILROAD MEDICARE
TX302179YPF6Medicare PIN