Reddy, Srikanth Kottapally

Reddy, Srikanth Kottapally is an individual health care provider with primary practice located at 4812 S 109Th East Ave Suite 300, Tulsa OK 74146-5826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Reddy, Srikanth Kottapally can be contacted via phone (918) 392-1400.

Contact Information

Primary practice address
4812 S 109Th East Ave Suite 300 Tulsa OK 74146-5826
Phone: (918) 392-1400
Fax: (918) 236-4587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 2073307 Oklahoma

Profile Details

NPI number 1912934100
LBN Legal business name Reddy, Srikanth Kottapally
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Feb 21st, 2017 - about 8 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 1912934100 NPPES
Oklahoma Other 250012255 RAILROAD MEDICARE
Oklahoma Other P00216400 RAILROAD MEDICARE
Oklahoma MEDICAID 100173420C RAILROAD MEDICARE

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