Individual
MR. ANIL KUMAR REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9725 EAST 79TH STREET, SUIT A, TULSA, OK 74133-4569
(918) 252-0112
(918) 252-0103
Mailing address
9725 EAST 79TH STREET, SUIT A, TULSA, OK 74133-4569
(918) 252-0112
(918) 252-0103
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
21535
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010230B
—
OK
05
—
200216530A
—
OK
Enumeration date
11/22/2006
Last updated
02/19/2014
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