Gangula, Shravan Kumar Reddy
Gangula, Shravan Kumar Reddy is an individual health care provider with primary practice located at 1400 W 4Th St , Coffeyville KS 67337-3306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gangula, Shravan Kumar Reddy can be contacted via phone (620) 688-6566.Contact Information
Primary practice address
1400 W 4Th St
Coffeyville KS 67337-3306
Phone: (620) 688-6566
Fax: (620) 688-6577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27717 | Oklahoma |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0436385 | Kansas |
Profile Details
| NPI number | 1437463593 |
|---|---|
| LBN Legal business name | Gangula, Shravan Kumar Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2010 |
| Last updated | Dec 15th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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