Individual
DR. MITTA ANANTH REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 N RACE ST, GLASGOW, KY 42141-3483
(270) 651-4444
(270) 651-4229
Mailing address
1301 N RACE ST, GLASGOW, KY 42141-3483
(270) 651-4444
(270) 651-4229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19502
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052139
ANTHEM
KY
05
—
64195027
—
KY
01
—
P00119850
RAILROAD MCARE
KY
Enumeration date
07/05/2006
Last updated
09/08/2022
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