Kancharla, Adarsh Reddy
Kancharla, Adarsh Reddy is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kancharla, Adarsh Reddy can be contacted via phone (864) 560-6287.Contact Information
Primary practice address
101 E Wood St
Spartanburg SC 29303-3040
Phone: (864) 560-6287
Fax: (864) 560-7091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25331 | West Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 56601 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 83531 | South Carolina |
Profile Details
| NPI number | 1932413259 |
|---|---|
| LBN Legal business name | Kancharla, Adarsh Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2010 |
| Last updated | Jan 26th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932413259 | NPPES |
| West Virginia | MEDICAID | 3810026559 | |
| West Virginia | MEDICAID | 835314 | |
| West Virginia | Other | SCI0663365 | |
| West Virginia | Other | SCI0665019 |
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