Reddy, Kuchikula Rajender

Reddy, Kuchikula Rajender is an individual health care provider with primary practice located at 3400 Civic Center Blvd Pcam 4 South, Philadelphia PA 19104-5127. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Transplant Hepatology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Reddy, Kuchikula Rajender can be contacted via phone (215) 349-8222.

Contact Information

Primary practice address
3400 Civic Center Blvd Pcam 4 South Philadelphia PA 19104-5127
Phone: (215) 349-8222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD073656L Pennsylvania
Allopathic & Osteopathic Physicians / Transplant Hepatology 207RT0003X MD073656L Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD073656L Pennsylvania

Profile Details

NPI number 1992848519
LBN Legal business name Reddy, Kuchikula Rajender
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Oct 4th, 2019 - about 5 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 1992848519 NPPES
Pennsylvania MEDICAID 0018711540001

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