Reddy, Krishna K

Reddy, Krishna K is an individual health care provider with primary practice located at 437 Denison St , Conway AR 72034-6127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reddy, Krishna K can be contacted via phone (501) 327-1325.

Contact Information

Primary practice address
437 Denison St Conway AR 72034-6127
Phone: (501) 327-1325
Fax: (501) 327-1328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R3046 Arkansas

Profile Details

NPI number 1912996497
LBN Legal business name Reddy, Krishna K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Mar 10th, 2010 - about 15 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 1912996497 NPPES
Arkansas Other 770163401 MEDICAID BREAST CARE
Arkansas Other 060000204 MEDICAID BREAST CARE
Arkansas MEDICAID 106214001 MEDICAID BREAST CARE
Arkansas Other 0420244 MEDICAID BREAST CARE
Arkansas Other 54277 MEDICAID BREAST CARE
Arkansas Other 71024973572031019 MEDICAID BREAST CARE

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