Reddy, Suguna V
Reddy, Suguna V is an individual health care provider with primary practice located at 700 W Central Ave Ste 108, El Dorado KS 67042-2184. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Reddy, Suguna V can be contacted via phone (316) 321-7550.Contact Information
Primary practice address
700 W Central Ave Ste 108
El Dorado KS 67042-2184
Phone: (316) 321-7550
Fax: (316) 321-1404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 18326 | Kansas |
Profile Details
| NPI number | 1215935812 |
|---|---|
| LBN Legal business name | Reddy, Suguna V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Aug 4th, 2009 - about 17 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 | 1215935812 | NPPES |
| Kansas | MEDICAID | 100194400A | |
| Kansas | Other | 617610 |
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