Reddy, Madan Mohan Gangapuram

Reddy, Madan Mohan Gangapuram is an individual health care provider with primary practice located at 1210 Ky Highway 36 E Ste 1D , Cynthiana KY 41031-7490. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Reddy, Madan Mohan Gangapuram can be contacted via phone (859) 234-1707.

Contact Information

Primary practice address
1210 Ky Highway 36 E Ste 1D Cynthiana KY 41031-7490
Phone: (859) 234-1707
Fax: (859) 234-1768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 48934 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 24976 West Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 105688 Minnesota

Profile Details

NPI number 1649559592
LBN Legal business name Reddy, Madan Mohan Gangapuram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Mar 17th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649559592 NPPES
Kentucky MEDICAID 7100227130

Popular Providers