Individual ProviderShreya Boojala ReddyStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressDepartment Of Anesthesiology 3601 4th Street Ms 8182, Lubbock, TX 79430-0001(806) 743-2981PECOS EnrollmentBased on the most recent information from CMS, provider Shreya Boojala Reddy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1760129654Provider TypeIndividualFull NameReddy, Shreya BoojalaGenderFemaleSole ProprietorNoEnumeration Date5/12/2022Last Updated5/12/2022Contact InformationPractice LocationPractice AddressDepartment Of Anesthesiology 3601 4th Street Ms 8182, Lubbock, TX 79430-0001Phone(806) 743-2981FaxUnlisted FaxMailing LocationMailing AddressDepartment Of Anesthesiology 3601 4th Street Ms 8182, Lubbock, TX 79430-0001Phone(806) 743-2981FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10080357Texas