Individual
PRABHAKARA K REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 HIGDON FERRY RD, STE B, HOT SPRINGS, AR 71913-6419
(501) 623-2731
(501) 623-1660
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 627-1800
(501) 627-1899
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
R 3235
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102475001
—
AR
Enumeration date
08/09/2005
Last updated
07/06/2016
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