Provider Demographics
NPI:1821094335
Name:NAINI, GNANA SUMATHI REDDY (MD)
Entity type:Individual
Prefix:
First Name:GNANA SUMATHI
Middle Name:REDDY
Last Name:NAINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 VILLAGE DR STE C
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4650
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:416 VILLAGE DR STE C
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4650
Practice Address - Country:US
Practice Address - Phone:972-325-8060
Practice Address - Fax:972-430-7818
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6902207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122865503Medicaid
TX122865503Medicaid