DR. PRASAD K PEDDU M.D.
NPI 1487656468
Internal Medicine in Lufkin, TX

Active since August 10, 2005
515 GASLIGHT BLVD, LUFKIN, TX 75904(936) 634-3995(936) 634-4022 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Prasad K Peddu M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRASAD K PEDDU M.D. (NPI 1487656468) is an individual internal medicine provider in Lufkin, Texas, licensed in Texas (J9263) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1487656468
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRASAD K PEDDUCredential: M.D.
Location Address515 GASLIGHT BLVDLufkin, TX 75904-3127
Mailing Address515 Gaslight BlvdLufkin, TX 75904-3127 · (936) 634-3995 · Fax (936) 694-4022
Fax(936) 634-4022
Sole ProprietorYes
Enumeration DateAugust 10, 2005
Last NPPES UpdateAugust 27, 2015
NPI 1487656468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · J9263
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
515 GASLIGHT BLVD, Lufkin, TX 75904

Other Names 1

Other Name (5)Koteswara P Peddu Md

Other Identifiers 5

Other110114826TX · Medicare Railroad Id
Other261887122TX · Tax Id
Medicare UPING15469TX
Medicare PIN8F8817TX
Medicaid038251701TX

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
515 GASLIGHT BLVD
LUFKIN, TX 75904
Internal Medicine
515 GASLIGHT BLVD
LUFKIN, TX 75904
Internal Medicine
515 GASLIGHT BLVD
LUFKIN, TX 75904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prasad Peddu's NPI number?

The NPI number for Prasad Peddu is 1487656468. It was assigned to this individual provider in the NPPES registry on August 10, 2005. The provider is also known as Koteswara P Peddu MD.

Where is Prasad Peddu located?

Prasad Peddu practices at 515 Gaslight Blvd, Lufkin, TX 75904. The listed phone number is (936) 634-3995.

What is Prasad Peddu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Prasad Peddu was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.