| Malladi & Reddy, PA | |
|
319 Gaslight Blvd Lufkin TX 75904-3124 | |
| (936) 634-3713 | |
| (936) 634-8136 |
| Full Name | Malladi & Reddy, PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 319 Gaslight Blvd, Lufkin, Texas |
| Authorized Official Name and Position | Bhagvan Reddy Malladi (OWNER) |
| Authorized Official Contact | 9366343713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malladi & Reddy, PA 319 Gaslight Blvd Lufkin TX 75904-3124 Ph: (936) 634-3713 | Malladi & Reddy, PA 319 Gaslight Blvd Lufkin TX 75904-3124 Ph: (936) 634-3713 |
| NPI Number | 1508986373 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Medicare PECOS PAC ID | 5395917843 |
|---|---|
| Medicare Enrollment ID | O20111006000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508986373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Raghuveer M Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619979101 PECOS PAC ID: 9537210729 Enrollment ID: I20110901000241 |
| Provider Name | Bhagvan R Malladi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215938360 PECOS PAC ID: 0446301634 Enrollment ID: I20110901000310 |
| Provider Name | Whitney Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043851645 PECOS PAC ID: 2961835285 Enrollment ID: I20191127000918 |
| Provider Name | Bhavna Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891430534 PECOS PAC ID: 5597244459 Enrollment ID: I20260210003546 |
| Provider Name | Jocelyn Soria Banuelos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487239232 PECOS PAC ID: 3678054939 Enrollment ID: I20260225000375 |
Michael Hunt Huber MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave Ste 100, Lufkin, TX 75904 Phone: 936-639-2244 Fax: 936-634-9334 |
Jerry L Spinks, MD, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-639-2338 Fax: 936-639-2980 |
Kevin W Farris M.D., P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave, Suite 301, Lufkin, TX 75904 Phone: 936-632-7606 Fax: 936-632-1574 |
In & Out Clinic PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3802 S Medford Dr, Lufkin, TX 75901 Phone: 936-634-2231 Fax: 936-634-8012 |
Front Porch Health and Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Ray Fisher Rd, Lufkin, TX 75901 Phone: 936-676-0772 |
Lufkin Lifestyle and Family Medicine PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 N 1st St, Lufkin, TX 75901 Phone: 369-632-2802 Fax: 369-286-3005 |