Reddy, Anil Kumar

Reddy, Anil Kumar is an sole proprietor health care provider with primary practice located at 9725 East 79Th Street Suit A, Tulsa OK 74133-4569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Reddy, Anil Kumar can be contacted via phone (918) 252-0112.

Contact Information

Primary practice address
9725 East 79Th Street Suit A Tulsa OK 74133-4569
Phone: (918) 252-0112
Fax: (918) 252-0103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 21535 Oklahoma

Profile Details

NPI number 1003981135
LBN Legal business name Reddy, Anil Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Feb 19th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003981135 NPPES
Oklahoma MEDICAID 200216530A
Oklahoma MEDICAID 100010230B

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