Individual
HEMANTH KUMAR VALLAPU REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9335
(620) 694-4512
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-25750
KS
207R00000X
Internal Medicine Physician
C52736
CA
208M00000X
Hospitalist Physician
Primary
C52736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100175170A
—
KS
05
—
100175170B
—
KS
Enumeration date
09/25/2006
Last updated
11/13/2017
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