Gangula, Shravan Kumar Reddy

Gangula, Shravan Kumar Reddy is an individual health care provider with primary practice located at 1400 W 4Th St , Coffeyville KS 67337-3306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gangula, Shravan Kumar Reddy can be contacted via phone (620) 688-6566.

Contact Information

Primary practice address
1400 W 4Th St Coffeyville KS 67337-3306
Phone: (620) 688-6566
Fax: (620) 688-6577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27717 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0436385 Kansas

Profile Details

NPI number 1437463593
LBN Legal business name Gangula, Shravan Kumar Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2010
Last updated Dec 15th, 2017 - about 9 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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