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Individual
ADARSH REDDY KANCHARLA
Active
Individual
ADARSH REDDY KANCHARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25331
WV
208000000X
Pediatrics Physician
56601
WI
208000000X
Pediatrics Physician
Primary
83531
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810026559
—
WV
05
—
835314
—
SC
01
—
SCI0663365
MEDICARE PIN
SC
01
—
SCI0665019
MEDICARE PIN
SC
Enumeration date
07/28/2010
Last updated
01/26/2021
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