Reddy, Anil Kumar
Reddy, Anil Kumar is an sole proprietor health care provider with primary practice located at 9725 East 79Th Street Suit A, Tulsa OK 74133-4569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Reddy, Anil Kumar can be contacted via phone (918) 252-0112.Contact Information
Primary practice address
9725 East 79Th Street Suit A
Tulsa OK 74133-4569
Phone: (918) 252-0112
Fax: (918) 252-0103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 21535 | Oklahoma |
Profile Details
| NPI number | 1003981135 |
|---|---|
| LBN Legal business name | Reddy, Anil Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Feb 19th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003981135 | NPPES |
| Oklahoma | MEDICAID | 200216530A | |
| Oklahoma | MEDICAID | 100010230B |
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