Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | R3118 | TX |
Y | 207RI0011X | Interventional Cardiology | 29697 | NE |
N | 207RI0011X | Interventional Cardiology | MD-42641 | IA |
NPI | 1013143122 |
---|---|
Provider Name | Arun Kanmantha Reddy |
First Address | Omaha, NE 68124-2319 |
Second Address | Houston, TX 77030-5389 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2009 |
Last Update Date | 27/06/2018 |