Koyagura, Sudheer Reddy
Koyagura, Sudheer Reddy is an individual health care provider with primary practice located at 601 W Maple Ave Suite 704, Springdale AR 72764-5335. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Koyagura, Sudheer Reddy can be contacted via phone (479) 757-3717.Contact Information
Primary practice address
601 W Maple Ave Suite 704
Springdale AR 72764-5335
Phone: (479) 757-3717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E6603 | Arkansas |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | E6603 | Arkansas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 31671 | Oklahoma |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | E6603 | Arkansas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | E6602 | Arkansas |
Profile Details
| NPI number | 1528261617 |
|---|---|
| LBN Legal business name | Koyagura, Sudheer Reddy |
| Credentials | M.D., MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Jun 28th, 2021 - about 5 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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