Reddy, Rebecca H

Reddy, Rebecca H is an sole proprietor health care provider with primary practice located at 1861 N Rock Rd Ste 105, Wichita KS 67206-4200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Reddy, Rebecca H can be contacted via phone (316) 201-1202.

Contact Information

Primary practice address
1861 N Rock Rd Ste 105 Wichita KS 67206-4200
Fax: (316) 201-1251
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-29595 Kansas

Profile Details

NPI number 1366416414
LBN Legal business name Reddy, Rebecca H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Jan 17th, 2013 - about 12 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 1366416414 NPPES
Kansas MEDICAID 100420630J

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