| Infectious Diseases Associates, Llp | |
|
3030 North St Suite 460 Beaumont TX 77702 | |
| (409) 892-6099 | |
| (409) 892-2210 |
| Full Name | Infectious Diseases Associates, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 3030 North St, Beaumont, Texas |
| Authorized Official Name and Position | Keshava C Reddy (MD) |
| Authorized Official Contact | 4098926099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Associates, Llp 3030 North St Suite 460 Beaumont TX 77702 Ph: (409) 892-6099 | Infectious Diseases Associates, Llp 3030 North St Suite 460 Beaumont TX 77702 Ph: (409) 892-6099 |
| NPI Number | 1235226713 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 01/04/2012 |
| Medicare PECOS PAC ID | 8921034570 |
|---|---|
| Medicare Enrollment ID | O20050714000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235226713 | NPI | - | NPPES |
| 00073N | Other | TX | BLUE CROSS BLUE SHIELD |
| 079781301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | J4983 (Texas) | Primary |
| Provider Name | Keshava C Reddy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932296407 PECOS PAC ID: 8325234008 Enrollment ID: I20120522001380 |
| Provider Name | Orlando Schaening |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891882387 PECOS PAC ID: 2466488978 Enrollment ID: I20120529000116 |
| Provider Name | Matthew G Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437614641 PECOS PAC ID: 6305188947 Enrollment ID: I20190430001981 |
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