Provider Demographics
NPI:1528941762
Name:REDMED MANAGEMENT LLC
Entity type:Organization
Organization Name:REDMED MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GAJJALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:872-325-3100
Mailing Address - Street 1:9900 WESTPARK DR STE 226
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5286
Mailing Address - Country:US
Mailing Address - Phone:872-325-3100
Mailing Address - Fax:
Practice Address - Street 1:111 NW 183RD ST STE 214C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-4537
Practice Address - Country:US
Practice Address - Phone:872-325-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center