Kancharla, Kiran Reddy
Kancharla, Kiran Reddy is an individual health care provider with primary practice located at 2021 N Macarthur Blvd Ste 400 , Irving TX 75061-2226. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Kancharla, Kiran Reddy can be contacted via phone (972) 256-3537.Contact Information
Primary practice address
2021 N Macarthur Blvd Ste 400
Irving TX 75061-2226
Phone: (972) 256-3537
Fax: (972) 255-7916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | L2959 | Texas |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | L2959 | Texas |
Profile Details
| NPI number | 1629067533 |
|---|---|
| LBN Legal business name | Kancharla, Kiran Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Apr 12th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629067533 | NPPES |
| Texas | MEDICAID | 150452402 | |
| Texas | MEDICAID | 150452407 | |
| Texas | MEDICAID | 150452408 |
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