Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 04-31564 | KS |
N | 111NI0900X | Internist | 04-31564 | KS |
Y | 207RH0003X | Hematology & Oncology | 04-31564 | KS |
NPI | 1033190301 |
---|---|
Provider Name | Dr. Venkataprasanth P Reddy |
First Address | Westwood, KS 66205-1716 |
Second Address | Overland Park, KS 66204-2207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 11/04/2016 |